Wiley Mission - Marlton Nursing Home

General Information

UPDATE
Federal Provider Number
315418
Provider Name
WILEY MISSION
Provider Address
99 EAST MAIN STREET
MARLTON, NJ 8053
Provider Phone Number
8569830411
Provider SSA County
150
Provider County Name
Burlington
Ownership Type
Non profit - Church related
Number of Certified Beds
67
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILEY MISSION
Date First Approved to Provide Medicare and Medicaid services
1997-12-05
Continuing Care Retirement Community
Y
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
3
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96641
Reported LPN Staffing Hours per Resident per Day
0.37656
Reported RN Staffing Hours per Resident per Day
1.64531
Reported Licensed Staffing Hours per Resident per Day
2.02188
Reported Total Nurse Staffing Hours per Resident per Day
4.98828
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06719
Expected CNA Staffing Hours per Resident per Day
2.44862
Expected LPN Staffing Hours per Resident per Day
0.60894
Expected RN Staffing Hours per Resident per Day
0.88672
Expected Total Nurse Staffing Hours per Resident per Day
3.94429
Adjusted CNA Staffing Hours per Resident per Day
2.97256
Adjusted LPN Staffing Hours per Resident per Day
0.51326
Adjusted RN Staffing Hours per Resident per Day
1.38642
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09782
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
12
Cycle 1 Standard Survey Health Date
2014-11-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-12-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
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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