Willow Springs Rehabilitation And Healthcare Ctr - Brick Nursing Home
General Information
UPDATEFederal Provider Number
315213
Provider Name
WILLOW SPRINGS REHABILITATION AND HEALTHCARE CTR
Provider Address
1049 BURNT TAVERN ROAD
BRICK, NJ 8724
BRICK, NJ 8724
Provider Phone Number
(732) 840-3700
Provider SSA County
310
Provider County Name
Ocean
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURNT TAVERN REHABILITATION AND HEALTHCARECENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1985-01-18
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21898
Reported LPN Staffing Hours per Resident per Day
1.05046
Reported RN Staffing Hours per Resident per Day
0.53843
Reported Licensed Staffing Hours per Resident per Day
1.58889
Reported Total Nurse Staffing Hours per Resident per Day
3.80787
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05509
Expected CNA Staffing Hours per Resident per Day
2.45226
Expected LPN Staffing Hours per Resident per Day
0.65357
Expected RN Staffing Hours per Resident per Day
0.98418
Expected Total Nurse Staffing Hours per Resident per Day
4.09000
Adjusted CNA Staffing Hours per Resident per Day
2.22029
Adjusted LPN Staffing Hours per Resident per Day
1.33403
Adjusted RN Staffing Hours per Resident per Day
0.40878
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75284
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-08-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
7475
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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