Provider Name: SUNNYSIDE MANOR
Address: 2500 RIDGEWOOD ROAD, WALL, NJ 07719
Phone: (732) 528-9311
County: Monmouth (290)
Ownership Type: For profit - Corporation
Certified Beds: 60
Average Residents Per Day: 42.5 ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: SUNNYSIDE MANOR INC
First Approved Date: May 8, 1996
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Both
Sprinkler System Status: Yes
Overall Rating: 5 ()
Health Inspection Rating: 5 ()
QM Rating: 5 ()
Long Stay QM Rating: 4 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.99130, LPN Staff Hours Per Day: 0.8305, RN Staff Hours Per Day: 0.6916, Licensed Staff Hours Per Day: 1.5221
Total Nurse Staff Hours Per Day, per resident: 4.51349
Weekend Nurse Staff Hours: 4.15039, Weekend RN Staff Hours: 0.4700
PT Staff Hours Per Day, per resident: 0.0664
Nurse Staff Turnover: , Nurse Turnover Note: 6
RN Turnover: , RN Turnover Note: 6
Admin Left Number: , Admin Turnover Note: 6
Case Mix Nurse Aide Hours Per Day, per resident: 2.1303, Case Mix LPN Hours Per Day: 0.6376, Case Mix RN Hours Per Day: 0.2913
Adjusted Nurse Aide Hours Per Day, per resident: 2.86059, Adjusted LPN Hours Per Day: 0.9612, Adjusted RN Hours Per Day: 0.8944
Total Adjusted Nurse Hours Per Day, per resident: 4.65019
Adjusted Weekend Nurse Hours Per Day, per resident: 4.27610
Health Survey Dates and Scores: Cycle 1: 2022-08-10 (Score: 4), Cycle 2: 2020-02-20 (Score: 0), Cycle 3: 2019-03-07 (Score: 0)
Total Weighted Health Score: 2.000
Reported Incidents: 0, Substantiated Complaints: 0
Infection Control Citations:
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 2500 RIDGEWOOD ROAD,WALL,NJ,07719 (40.1412, -74.085)
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: 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 2022-09-09
Type: Health, Deficiency: Encode each resident’s assessment data and transmit these data to the State within 7 days of assessment.
Severity: B - Level 1: No actual harm with potential for minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2020-02-28
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: 0037, Version: New
Description: Establish staff and initial training requirements.
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 2022-09-09
Type: Fire Safety, Tag: 0521, Version: New
Description: Ensure heating and ventilation systems that have been properly installed according to the manufacturer's instructions.
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 2022-09-09
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2022-09-09