Provider Name: PEACE CARE ST JOSEPH'S
Address: 537 PAVONIA AVENUE, JERSEY CITY, NJ 07306
Phone: (201) 653-8300
County: Hudson (230)
Ownership Type: Non profit - Corporation
Certified Beds: 139
Average Residents Per Day: 107. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: MARGARET ANNA CUSACK CARE CENTER,INC
First Approved Date: December 1, 1997
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: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 4 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 4 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.52874, LPN Staff Hours Per Day: 0.5100, RN Staff Hours Per Day: 1.1162, Licensed Staff Hours Per Day: 1.6263
Total Nurse Staff Hours Per Day, per resident: 4.15509
Weekend Nurse Staff Hours: 3.80830, Weekend RN Staff Hours: 1.0666
PT Staff Hours Per Day, per resident: 0.0754
Nurse Staff Turnover: 41.8, Nurse Turnover Note:
RN Turnover: 63.3, RN Turnover Note:
Admin Left Number: 3, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 1.9096, Case Mix LPN Hours Per Day: 0.6675, Case Mix RN Hours Per Day: 0.3031
Adjusted Nurse Aide Hours Per Day, per resident: 2.69768, Adjusted LPN Hours Per Day: 0.5639, Adjusted RN Hours Per Day: 1.3876
Total Adjusted Nurse Hours Per Day, per resident: 4.54711
Adjusted Weekend Nurse Hours Per Day, per resident: 4.16760
Health Survey Dates and Scores: Cycle 1: 2023-08-22 (Score: 56), Cycle 2: 2021-05-28 (Score: 0), Cycle 3: 2019-07-18 (Score: 8)
Total Weighted Health Score: 29.333
Reported Incidents: 0, Substantiated Complaints: 1
Infection Control Citations: 1
Fines and Penalties: Number of Fines: 27, Total Fines in Dollars: 151860.84, Payment Denials Number: 0, Total Penalties Number: 27
Location and GPS: 537 PAVONIA AVENUE,JERSEY CITY,NJ,07306 (40.7315, -74.058)
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 each resident receives an accurate assessment.
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 2023-09-01
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 2023-08-29
Type: Health, Deficiency: Provide safe, appropriate dialysis care/services for a resident who requires such services.
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 2023-08-29
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
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 2023-08-29
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 2023-09-08
Type: Health, Deficiency: Have the Quality Assessment and Assurance group have the required members and meet at least quarterly
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 2023-10-11
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 2023-08-29
Type: Health, Deficiency: Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Severity: G - Level 3: Actual harm that is not immediate jeopardy. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2023-08-29
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 2022-03-15
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 2019-07-31
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: 0291, Version: New
Description: Install emergency lighting that can last at least 1 1/2 hours.
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 2023-08-29
Type: Fire Safety, Tag: 0531, Version: New
Description: Have elevators that firefighters can control in the event of a fire.
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 2023-09-08
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 2023-09-22