House of The Good Shepherd
798 Willow Grove Street, Hackettstown, NJ 07840


House of The Good Shepherd is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 315422. The address is 798 Willow Grove Street, Hackettstown, NJ 07840. The zip code is 07840. The phone number is 9086845900.


House of The Good Shepherd · 798 Willow Grove Street, Hackettstown, NJ 07840

Federal Provider Number 315422
Provider Name HOUSE OF THE GOOD SHEPHERD
Address 798 WILLOW GROVE STREET
HACKETTSTOWN, NJ 07840
Phone Number 9086845900
SSA County Code 390
County Name Warren
Ownership Type Non profit - Corporation
Certified Beds 62
Certified Beds Residents 54
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name THE HOUSE OF THE GOOD SHEPHERD
Date First Approved to Provide Medicare Medicaid Services 08/25/1997
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 2
Health Inspection Rating 1
Quality Measure Rating 5
Staffing Rating 3
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.19259
Reported LPN Staffing Hours per Resident per Day 0.70648
Reported RN Staffing Hours per Resident per Day 0.79537
Reported Licensed Staffing Hours per Resident per Day 1.50185
Reported Total Nurse Staffing Hours per Resident per Day 3.69444
Reported Physical Therapist Staffing Hours per Resident Per Day 0.15463
Expected CNA Staffing Hours per Resident per Day 2.58579
Expected LPN Staffing Hours per Resident per Day 0.63921
Expected RN Staffing Hours per Resident per Day 1.06243
Expected Total Nurse Staffing Hours per Resident per Day 4.28743
Adjusted CNA Staffing Hours per Resident per Day 2.08058
Adjusted LPN Staffing Hours per Resident per Day 0.91735
Adjusted RN Staffing Hours per Resident per Day 0.55938
Adjusted Total Nurse Staffing Hours per Resident per Day 3.47339
Cycle 1 Total Number of Health Deficiencies 2
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 05/23/2017
Cycle 1 Total Health Score 8
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 06/21/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 7
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 453
Cycle 3 Standard Health Survey Date 04/23/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 453
Total Weighted Health Survey Score 80.833
Number of Substantiated Complaints 3
Number of Fines 2
Total Amount of Fines in Dollars $66950.00
Total Number of Penalties 2
Processing Date 08/01/2017

Owner or Manager · House of The Good Shepherd

Owner Name Role Association Date
BARTKUS, ROBERT (Individual) DIRECTOR since 03/01/2014
BEARDS, DEBORAH (Individual) MANAGING EMPLOYEE since 05/24/2011
BEARDS, DEBORAH (Individual) OFFICER since 05/24/2011
BRODEUR, CHRISTINE (Individual) DIRECTOR since 05/01/2016
CONWAY, CLAUDIA (Individual) OFFICER since 01/01/2012
DRISCOLL, HOLLIE (Individual) MANAGING EMPLOYEE since 04/25/2013
DRISCOLL, HOLLIE (Individual) OFFICER since 04/25/2013
FERGUSON, BIRDA (Individual) DIRECTOR since 03/01/2014
GUIDONE, PHILLIP (Individual) DIRECTOR since 01/01/2012
JACKSON, SUZANNE (Individual) DIRECTOR since 01/01/1998
JENSEN, ROBYN (Individual) DIRECTOR since 01/01/2013
KILGORE, JUDITH (Individual) DIRECTOR since 01/01/2013
KILGORE, JUDITH (Individual) OFFICER since 05/01/2013
LINSKEY, JOSEPH (Individual) DIRECTOR since 03/01/2016
MATHEWS, THOMAS (Individual) DIRECTOR since 03/01/2014
OLSSON, PAUL (Individual) OFFICER since 01/01/2012
RUDE, DAVID (Individual) DIRECTOR since 03/01/2015
SCHAFER, ELVA (Individual) DIRECTOR since 03/01/2014
SHUFORD, SHEILA (Individual) DIRECTOR since 03/01/2015
SULLIVAN, DAVID (Individual) OFFICER since 01/01/2002

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