Provider Name: CAREONE AT SOMERSET VALLEY
Address: 1621 ROUTE 22 WEST, BOUND BROOK, NJ 08805
Phone: (732) 469-2000
County: Somerset (350)
Ownership Type: For profit - Corporation
Certified Beds: 64
Average Residents Per Day: 47.4 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: 1621 ROUTE 22 WEST OPERATING COMPANY, LLC
First Approved Date: January 1, 1967
Affiliated Entity: CAREONE (109)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: None
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: (2)
Short Stay QM Rating: 5 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.86451, LPN Staff Hours Per Day: 1.0527, RN Staff Hours Per Day: 1.2996, Licensed Staff Hours Per Day: 2.3523
Total Nurse Staff Hours Per Day, per resident: 4.21687
Weekend Nurse Staff Hours: 3.49843, Weekend RN Staff Hours: 0.7217
PT Staff Hours Per Day, per resident: 0.2590
Nurse Staff Turnover: 40.3, Nurse Turnover Note:
RN Turnover: 45.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.0900, Case Mix LPN Hours Per Day: 0.9201, Case Mix RN Hours Per Day: 0.5674
Adjusted Nurse Aide Hours Per Day, per resident: 1.81745, Adjusted LPN Hours Per Day: 0.8442, Adjusted RN Hours Per Day: 0.8630
Total Adjusted Nurse Hours Per Day, per resident: 3.71524
Adjusted Weekend Nurse Hours Per Day, per resident: 3.08226
Health Survey Dates and Scores: Cycle 1: 2023-09-21 (Score: 8), Cycle 2: 2021-06-16 (Score: 0), Cycle 3: 2019-08-16 (Score: 20)
Total Weighted Health Score: 7.333
Reported Incidents: 0, Substantiated Complaints: 7
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 662.73, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 1621 ROUTE 22 WEST,BOUND BROOK,NJ,08805 (40.5838, -74.514)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-26
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-26
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-08-20
Type: Health, Deficiency: Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-05
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-05
Type: Health, Deficiency: Provide and implement an infection prevention and control program.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-05
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Fire Safety, Tag: 0222, Version: New
Description: Add doors in an exit area that do not require the use of a key from the exit side unless in case of special locking arrangements.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-02
Type: Fire Safety, Tag: 0324, Version: New
Description: Provide properly protected cooking facilities.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-02
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-10-02
Type: Fire Safety, Tag: 0353, Version: New
Description: Inspect, test, and maintain automatic sprinkler systems.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-09-05