Willow Creek Rehab And Care Ce - Somerset Nursing Home

General Information

UPDATE
Federal Provider Number
315131
Provider Name
WILLOW CREEK REHAB AND CARE CE
Provider Address
1165 EASTON AVE
SOMERSET, NJ 8873
Provider Phone Number
(732) 246-4100
Provider SSA County
350
Provider County Name
Somerset
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
144
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CPL (WILLOW CREEK) LLC
Date First Approved to Provide Medicare and Medicaid services
1971-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.91632
Reported LPN Staffing Hours per Resident per Day
1.33819
Reported RN Staffing Hours per Resident per Day
0.59722
Reported Licensed Staffing Hours per Resident per Day
1.93542
Reported Total Nurse Staffing Hours per Resident per Day
3.85173
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12292
Expected CNA Staffing Hours per Resident per Day
2.63854
Expected LPN Staffing Hours per Resident per Day
0.83164
Expected RN Staffing Hours per Resident per Day
1.23814
Expected Total Nurse Staffing Hours per Resident per Day
4.70832
Adjusted CNA Staffing Hours per Resident per Day
1.78207
Adjusted LPN Staffing Hours per Resident per Day
1.33554
Adjusted RN Staffing Hours per Resident per Day
0.36041
Adjusted Total Nurse Staffing Hours per Resident per Day
3.29755
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
2014-06-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-03-08
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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