| General |
| City |
| Hackettstown |
Cape May Court House |
| State attribute explanation |
| Nj |
Nj |
| Street |
| 430 Schooley's Mountain Rd |
144 Magnolia Drive |
| Zip Code |
| 7,840 |
8,210 |
| Phone |
| 9,088,524,801 |
6,094,657,171 |
|
Overall Star Rating |
| 5 |
1 |
|
Health Inspections Star Rating |
| 3 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 5 |
1 |
|
RN Only Star Rating |
| 4 |
3 |
|
Number of Certified Beds |
| 99 |
120 |
|
Total Number of Residents |
| 97 |
107 |
|
Percent of Occupied Beds |
| 98 % |
89 % |
| Health Survey Date |
| 8/1/2011 |
5/2/2012 |
| Fire Survey Date |
| 8/1/2011 |
5/2/2012 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| Non Profit - Corporation |
Non Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
Yes |
| Resident and Family Councils |
| Resident |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
No |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
|
7 |
|
| Staff Information |
| Number of Residents |
| 97 |
107 |
| Number of RN Hours Per Resident Per Day |
| 0.75 |
0.6 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.88 |
0.86 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.63 |
1.46 |
| Number of CNA Hours Per Resident Per Day |
| 0.12 |
0.11 |
| Number Therapy Hours Per Resident Per Day |
| 0.12 |
0.11 |
| Environmental Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 11/17/2011date Of Correction: 01/03/2012 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 10/04/2010date Of Correction: 11/16/2010 |
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 01/18/2011date Of Correction: 03/07/2011 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 07/23/2009date Of Correction: 08/26/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Notify The Resident Or Provide Reasons For A Transfer Or Discharge.survey Date: 02/08/2010date Of Correction: 03/18/2010 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 10/04/2010date Of Correction: 11/16/2010 |
| Administration Deficiencies |
| Deficiency #1 |
|
Scope: Somelevel Of Harm: 1deficiency: Keep Clinical Record Information Safe, So That It Will Not Be Lost, Destroyed Or Used By The Wrong Person.survey Date: 03/24/2010date Of Correction: 04/29/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 12.5 % |
34.9 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.9 % |
3.6 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 1.50 % |
17 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.9 % |
11.1 % |
| Percent of long-stay residents who lose too much weight |
| 3.8 % |
11.2-20 |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
48.6 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
2.20 % |
| Percent of long-stay residents with a urinary tract infection |
| 5.1 % |
4.5 % |
| Percent of long-stay residents who have depressive symptoms |
| 13.3 % |
3.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.3 % |
2.20 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 1.2 % |
59.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 95.7 % |
86.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.9 % |
61.1 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 3.8 % |
3.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 14.3 % |
30.1 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 0.6 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 5.4 % |
23.8:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 5.6:1 |
7.4 % |
| Percent of long-stay residents who lose too much weight |
| 4.3 % |
13.8 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 38.5 % |
40.9 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 0.5 - 2.0 |
4.8 % |
| Percent of long-stay residents with a urinary tract infection |
| 6 % |
7.1 % |
| Percent of long-stay residents who have depressive symptoms |
| 17.2 % |
4.7 % |
| Percent of long-stay residents who were physically restrained |
| 1.3 % |
3.9 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 4.2 % |
4.3 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 4 % |
47.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 96 % |
82.9 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 97.1 % |
46.4 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 11.3 % |
25.1 % |