White House Hlthcr & Rehab Ctr - Orange Nursing Home
General Information
UPDATEFederal Provider Number
315372
Provider Name
WHITE HOUSE HLTHCR & REHAB CTR
Provider Address
560 BERKELEY AVENUE
ORANGE, NJ 7050
ORANGE, NJ 7050
Provider Phone Number
(973) 672-6500
Provider SSA County
200
Provider County Name
Essex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
176
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE HOUSE HEALTHCARE AND REHABILITATION CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.58030
Reported LPN Staffing Hours per Resident per Day
0.52515
Reported RN Staffing Hours per Resident per Day
0.70879
Reported Licensed Staffing Hours per Resident per Day
1.23394
Reported Total Nurse Staffing Hours per Resident per Day
3.81424
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06788
Expected CNA Staffing Hours per Resident per Day
2.60989
Expected LPN Staffing Hours per Resident per Day
0.69545
Expected RN Staffing Hours per Resident per Day
1.00480
Expected Total Nurse Staffing Hours per Resident per Day
4.31014
Adjusted CNA Staffing Hours per Resident per Day
2.42588
Adjusted LPN Staffing Hours per Resident per Day
0.62675
Adjusted RN Staffing Hours per Resident per Day
0.52708
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56713
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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