Fountains At Cedar Parke, The
114 Hayes Mill Road, Atco, NJ 08004


Fountains At Cedar Parke, The is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 315297. The address is 114 Hayes Mill Road, Atco, NJ 08004. The zip code is 08004. The phone number is 8567532000.


Fountains At Cedar Parke, The · 114 Hayes Mill Road, Atco, NJ 08004

Federal Provider Number 315297
Provider Name FOUNTAINS AT CEDAR PARKE, THE
Address 114 HAYES MILL ROAD
ATCO, NJ 08004
Phone Number 8567532000
SSA County Code 160
County Name Camden
Ownership Type For profit - Individual
Certified Beds 60
Certified Beds Residents 44
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name THE WOODLANDS AT HAYES MILL, LLC
Date First Approved to Provide Medicare Medicaid Services 06/10/1990
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 2
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.21591
Reported LPN Staffing Hours per Resident per Day 1.32386
Reported RN Staffing Hours per Resident per Day 0.76705
Reported Licensed Staffing Hours per Resident per Day 2.09091
Reported Total Nurse Staffing Hours per Resident per Day 4.30682
Reported Physical Therapist Staffing Hours per Resident Per Day 0.125
Expected CNA Staffing Hours per Resident per Day 2.62924
Expected LPN Staffing Hours per Resident per Day 0.61048
Expected RN Staffing Hours per Resident per Day 0.94414
Expected Total Nurse Staffing Hours per Resident per Day 4.18386
Adjusted CNA Staffing Hours per Resident per Day 2.06797
Adjusted LPN Staffing Hours per Resident per Day 1.79989
Adjusted RN Staffing Hours per Resident per Day 0.60705
Adjusted Total Nurse Staffing Hours per Resident per Day 4.14936
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 3
Cycle 1 Health Deficiency Score 16
Cycle 1 Standard Survey Health Date 06/23/2017
Cycle 1 Total Health Score 16
Cycle 2 Total Number of Health Deficiencies 4
Cycle 2 Number of Standard Health Deficiencies 4
Cycle 2 Health Deficiency Score 28
Cycle 2 Standard Health Survey Date 09/16/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 28
Cycle 3 Total Number of Health Deficiencies 6
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 60
Cycle 3 Standard Health Survey Date 08/27/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 60
Total Weighted Health Survey Score 27.333
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fountains At Cedar Parke, The

Owner Name Role Association Date
SCHWARZKOPF, SHARON (Individual) MANAGING EMPLOYEE since 10/31/2013
TEAM BANK CAPITAL BANK (Organization) 5% OR GREATER MORTGAGE INTEREST since 10/31/2013
THE WOODLANDS AT HAYES MILL, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/31/2013
VAN DER VELDE, ANNE MARIE (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/31/2013
VAN DER VELDE, PETER (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
50%
since 10/31/2013

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