Provider Name: CAREONE AT WAYNE
Address: 493 BLACK OAK RIDGE ROAD, WAYNE, NJ 07470
Phone: (973) 692-9500
County: Passaic (320)
Ownership Type: For profit - Individual
Certified Beds: 73
Average Residents Per Day: 69.0 ()
Provider Type: Medicare, Resides in Hospital: No
Legal Business Name: 493 BLACK OAK RIDGE ROAD, LLC
First Approved Date: June 24, 2002
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: 4 ()
Long Stay QM Rating: 3 ()
Short Stay QM Rating: 5 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 1.78536, LPN Staff Hours Per Day: 0.9736, RN Staff Hours Per Day: 1.0050, Licensed Staff Hours Per Day: 1.9786
Total Nurse Staff Hours Per Day, per resident: 3.76402
Weekend Nurse Staff Hours: 3.32888, Weekend RN Staff Hours: 0.6996
PT Staff Hours Per Day, per resident: 0.3617
Nurse Staff Turnover: 28.1, Nurse Turnover Note:
RN Turnover: 29.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2134, Case Mix LPN Hours Per Day: 0.8978, Case Mix RN Hours Per Day: 0.5953
Adjusted Nurse Aide Hours Per Day, per resident: 1.64326, Adjusted LPN Hours Per Day: 0.8002, Adjusted RN Hours Per Day: 0.6360
Total Adjusted Nurse Hours Per Day, per resident: 3.20084
Adjusted Weekend Nurse Hours Per Day, per resident: 2.83080
Health Survey Dates and Scores: Cycle 1: 2023-06-23 (Score: 0), Cycle 2: 2021-05-20 (Score: 4), Cycle 3: 2019-07-15 (Score: 12)
Total Weighted Health Score: 3.333
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: 493 BLACK OAK RIDGE ROAD,WAYNE,NJ,07470 (40.9575, -74.270)
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 2021-05-26
Type: Health, Deficiency: Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights.
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 2019-07-25
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
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 2019-07-25
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 2019-07-25
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: 0311, Version: New
Description: Have an enclosure around a vertical opening shaft.
Severity: F - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Waiver has been granted on 2023-08-01
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 2023-08-15