Overall Rating
Address
130 Terhune Drive
Wayne, NJ 07470
Contact
9738394500
Certification Date
1969-09-23
CMS Certification Number
315110
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
120
Average Number of Residents per Day
96.5
Provider Type
Medicare and Medicaid
Legal Business Name
TRI-STATE HEALTHCARE MANAGEMENT LLC
Affiliated Entity Name
EXCELSIOR CARE GROUP
Affiliated Entity ID
217
Health Inspection Rating
3
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
Reported LPN Staffing Hours per Resident per Day
Reported RN Staffing Hours per Resident per Day
Reported Total Nurse Staffing Hours per Resident per Day
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
Registered Nurse Hours per Resident per Day on the Weekend
Reported Physical Therapist Staffing Hours per Resident Per Day
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
30.000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2022-02-23
Total Number of Health Deficiencies
8
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
1
Health Deficiency Score
52
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
52
Standard Health Survey Date
2020-01-06
Total Number of Health Deficiencies
3
Number of Standard Health Deficiencies
3
Number of Complaint Health Deficiencies
0
Health Deficiency Score
12
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
12
Standard Health Survey Date
2019-01-17
Total Number of Health Deficiencies
1
Number of Standard Health Deficiencies
1
Number of Complaint Health Deficiencies
0
Health Deficiency Score
0
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
0
Number of Fines
1
Total Amount of Fines in Dollars
986.70
Number of Payment Denials
0
Total Number of Penalties
1