General Information: WEST CALDWELL CC
Nursing home name WEST CALDWELL CC
Address165 FAIRFIELD AVE
WEST CALDWELL, NJ 07006
Phone number (973) 226-1100
Located within a hospital No
Type of ownership For profit - Corporation
Owner operates multiple homesNo
Accept Medicare or Medicaid Medicare and Medicaid
Continue Care Retirement CommunityNo
Resident and family councils RESIDENT
Certified number of beds 180
Total number of residents 145
Perc of occupied beds 81
Sprinkler status Yes
Last health survey date 12/10/2012
Fire survey date: 12/10/2012
Ratings Summary: WEST CALDWELL CC
Overall rating 5
5
Nursing Home Staffing Not available.
Registered Nurses only Not available.
Health Inspections 4
4
Quality Measures 5
5
Nursing Home Staffing Info: WEST CALDWELL CC
National AverageWEST CALDWELL CC
Overall staff rating Not Available. Not available.
Registered Nurses only rating Not Available Not available.
Total Number of Residents 88.1 145.00
Total Number of Licensed Nurse Staff Hours per Resident per Day 29.8 hours 999.99 hours
Registered Nurses Hours per Residents per Day 29.0 hours 999.99 hours
Licensed Practical or Vacation Nurses Hours per Resident per Day 29.0 hours 999.99 hours
Certified Nursing Assistants Hours per Residents per Day 29.0 hours 999.99 hours
Health Inpections: WEST CALDWELL CC
Inspection Results: 10/04/2011
CorrectedCategoryDeficiencySeverity
11/11/2011Pharmacy Service DeficienciesProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse. D
11/11/2011Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
Inspection Results: 09/15/2010
CorrectedCategoryDeficiencySeverity
09/16/2010Nutrition and Dietary DeficienciesStore, cook, and serve food in a safe and clean way. F
09/15/2010Environmental DeficienciesHave a program that investigates, controls and keeps infection from spreading. F
09/15/2010Pharmacy Service DeficienciesAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor. D
09/15/2010Environmental DeficienciesMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public. E
09/15/2010Nutrition and Dietary DeficienciesPrepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature. E
09/30/2010Quality Care DeficienciesAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene. D
09/22/2010Quality Care DeficienciesEnsure services provided by the nursing facility meet professional standards of quality. D
10/13/2010Mistreatment DeficienciesDevelop and implement policies for 1) screening and training employees; and the 2) prevention, identification, investigation, and reporting of any abuse, neglect, mistreatment and misappropriation of property. E
10/09/2010Resident Rights DeficienciesKeep residents' personal and medical records private and confidential. D

Fire Safety Inpections: WEST CALDWELL CC
Inspection Results: 12/10/2012
CorrectedCategoryDeficiencySeverity
12/21/2012Exits and Egress DeficienciesExits that are accessible at all times. D
12/21/2012Smoke Compartmentation and Control DeficienciesSmoke barrier doors that can resist smoke for at least 20 minutes. D
Inspection Results: 10/04/2011
CorrectedCategoryDeficiencySeverity
10/05/2011Hazardous Area DeficienciesSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system. D
Inspection Results: 09/15/2010
CorrectedCategoryDeficiencySeverity
09/15/2010Smoke Compartmentation and Control DeficienciesProper construction of ducts through walls designed to prevent smoke passage. E

Resident Complaints: WEST CALDWELL CC
Date Complaint Substantiated: 09/15/2010
CorrectedCategoryDeficiencySeverity
09/30/2010Quality Care DeficienciesAssist those residents who need help with eating/drinking D

Quality Measures: WEST CALDWELL CC
Quality MeasuresNational AverageWEST CALDWELL CC
Overall quality rating Not Available 5
5
Long-Stay Residents
Percent of long-stay residents whose need for help with daily activities has increased. 27% 5.2999999999999998%
Percent of long-stay residents who self-report moderate to severe pain. 22% 1.6000000000000001%
Percent of long-stay residents experiencing one or more falls with major injury. 12% 0.59999999999999998%
Percent of long-stay residents who have/had a catheter inserted and left in their bladder. 13% 1.6000000000000001%
Percent of long-stay residents who have depressive symptoms. 16% 0.90000000000000002%
Percent of long-stay residents who lose too much weight. 16% 8.6999999999999993%
Percent of long-stay low-risk residents who lose control of their bowels or bladder 62% 20.600000000000001%
Percent of long-stay residents assessed and given, appropriately, the pneumococcal vaccine. 99% 99.700000000000003%
Percent of long-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 97% 89.900000000000006%
Percent of long-stay residents who were physically restrained. 11% 1.5%
Percent of long-stay high-risk residents with pressure ulcers. 19% 10.5%
Percent of long-stay residents who received an antipsychotic medication. 31% 6.7999999999999998%
Percent of long-stay residents with a urinary tract infection. 16% 4.7999999999999998%
Short-Stay Residents
Percent of short-stay residents with Pressure ulcers that are new or worsened. 11% 3.2000000000000002%
Percent of short-stay residents assessed and given, appropriately, the pneumococcal vaccine. 87% 99%
Percent of short-stay residents who self-report moderate to severe pain. 36% 9.4000000000000004%
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine. 92% 88.400000000000006%
Percent of short-stay residents who newly received an antipsychotic medication. 27% 1%
Severity Codes Explanation. Note: The higher the letter, the higher the severity.
AIsolated /Potential for minimal harm
BPattern /Potential for minimal harm
CWidespread /Potential for minimal harm
DIsolated /Minimal harm or potential for actual harm
EPattern /Minimal harm or potential for actual harm
FWidespread /Minimal harm or potential for actual harm
GIsolated /Actual harm
HPattern /Actual harm
IWidespread /Actual harm
JIsolated /Immediate jeopardy to resident health or safety
KPattern /Immediate jeopardy to resident health or safety
LWidespread /Immediate jeopardy to resident health or safety

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