Provider Name: FOOTHILL ACRES REHABILITATION & NURSING CENTER
Address: 39 EAST MOUNTAIN ROAD, HILLSBOROUGH, NJ 08844
Phone: (908) 369-8711
County: Somerset (350)
Ownership Type: For profit - Individual
Certified Beds: 200
Average Residents Per Day: 132. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: FOOTHILL ACRES REHABILITATION AND NURSING CENTER LLC
First Approved Date: October 15, 1998
Affiliated Entity: ()
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 2 ()
Health Inspection Rating: 1 ()
QM Rating: 4 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 3 ()
Staffing Rating: 5 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.76813, LPN Staff Hours Per Day: 0.8870, RN Staff Hours Per Day: 0.8417, Licensed Staff Hours Per Day: 1.7288
Total Nurse Staff Hours Per Day, per resident: 4.49694
Weekend Nurse Staff Hours: 4.15836, Weekend RN Staff Hours: 0.7272
PT Staff Hours Per Day, per resident: 0.0519
Nurse Staff Turnover: 31.2, Nurse Turnover Note:
RN Turnover: 19.0, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.1342, Case Mix LPN Hours Per Day: 0.6647, Case Mix RN Hours Per Day: 0.2999
Adjusted Nurse Aide Hours Per Day, per resident: 2.64228, Adjusted LPN Hours Per Day: 0.9847, Adjusted RN Hours Per Day: 1.0574
Total Adjusted Nurse Hours Per Day, per resident: 4.57385
Adjusted Weekend Nurse Hours Per Day, per resident: 4.22948
Health Survey Dates and Scores: Cycle 1: 2023-02-23 (Score: 12), Cycle 2: 2021-07-14 (Score: 0), Cycle 3: 2019-08-28 (Score: 212)
Total Weighted Health Score: 59.000
Reported Incidents: 0, Substantiated Complaints: 7
Infection Control Citations: 0
Fines and Penalties: Number of Fines: 0, Total Fines in Dollars: 0.00, Payment Denials Number: 0, Total Penalties Number: 0
Location and GPS: 39 EAST MOUNTAIN ROAD,HILLSBOROUGH,NJ,08844 (40.5016, -74.694)
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: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
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 2023-03-31
Type: Health, Deficiency: Provide care and assistance to perform activities of daily living for any resident who is unable.
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 2023-03-31
Type: Health, Deficiency: Provide safe and appropriate respiratory care for a resident when needed.
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 2023-03-31
Type: Health, Deficiency: Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities.
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 2021-10-18
Type: Health, Deficiency: Ensure services provided by the nursing facility meet professional standards of quality.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-11-05
Type: Health, Deficiency: Ensure a licensed pharmacist perform a monthly drug regimen review, including the medical chart, following irregularity reporting guidelines in developed policies and procedures.
Severity: K - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-10-25
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
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 2019-10-25
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 2019-10-25
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: 0761, Version: New
Description: To conduct inspection, testing and maintenance of fire doors by qualified individuals.
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 2023-04-17
Type: Fire Safety, Tag: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
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 2021-08-05
Type: Fire Safety, Tag: 0321, Version: New
Description: Ensure that special areas are constructed so that walls can resist fire for one hour or have an approved fire extinguishing system.
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 2021-07-23
Type: Fire Safety, Tag: 0918, Version: New
Description: Have generator or other power source capable of supplying service within 10 seconds.
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 2021-07-23