Care One At Wall
2621 Highway 138, Wall, NJ 07719


Care One At Wall is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 315485. The address is 2621 Highway 138, Wall, NJ 07719. The zip code is 07719. The phone number is 7325561060.


Care One At Wall · 2621 Highway 138, Wall, NJ 07719

Federal Provider Number 315485
Provider Name CARE ONE AT WALL
Address 2621 HIGHWAY 138
WALL, NJ 07719
Phone Number 7325561060
SSA County Code 290
County Name Monmouth
Ownership Type For profit - Corporation
Certified Beds 138
Certified Beds Residents 91
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CARE ONE AT WALL, LLC
Date First Approved to Provide Medicare Medicaid Services 09/10/2004
Continuing Care Retirement Community false
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 5
Health Inspection Rating 4
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 5
Reported CNA Staffing Hours per Resident per Day 2.20879
Reported LPN Staffing Hours per Resident per Day 1.31813
Reported RN Staffing Hours per Resident per Day 1.35165
Reported Licensed Staffing Hours per Resident per Day 2.66978
Reported Total Nurse Staffing Hours per Resident per Day 4.87857
Reported Physical Therapist Staffing Hours per Resident Per Day 0.32747
Expected CNA Staffing Hours per Resident per Day 2.47436
Expected LPN Staffing Hours per Resident per Day 0.7002
Expected RN Staffing Hours per Resident per Day 1.35132
Expected Total Nurse Staffing Hours per Resident per Day 4.52588
Adjusted CNA Staffing Hours per Resident per Day 2.19035
Adjusted LPN Staffing Hours per Resident per Day 1.56248
Adjusted RN Staffing Hours per Resident per Day 0.74738
Adjusted Total Nurse Staffing Hours per Resident per Day 4.34501
Cycle 1 Total Number of Health Deficiencies 1
Cycle 1 Number of Standard Health Deficiencies 1
Cycle 1 Health Deficiency Score 8
Cycle 1 Standard Survey Health Date 10/18/2016
Cycle 1 Total Health Score 8
Cycle 2 Standard Health Survey Date 09/03/2015
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 09/22/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 6.667
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Care One At Wall

Owner Name Role Association Date
CARE ONE LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 04/01/2007
CARE ONE MANAGEMENT, LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 04/01/2007
DES-C 2009 GRAT (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
21%
since 10/26/2009
HEALTHBRIDGE MANAGEMENT LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
24%
since 12/16/2007
HEALTHBRIDGE MANAGEMENT LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 07/25/2008
LUGO, ANDROSKY (Individual) OFFICER since 04/01/2007
MARCOS, VICTOR (Individual) MANAGING EMPLOYEE since 09/15/2012
MARCOS, VICTOR (Individual) OFFICER since 09/15/2012
SALTER, LOUISE (Individual) MANAGING EMPLOYEE since 06/07/2004
STRAUS, DANIEL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
38%
since 04/21/2007
STRAUS, MOSHAEL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
6%
since 04/01/2007

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