Clover Rest Home
Clover Rest Home Information
| Facility Name | Clover Rest Home |
| Location | 28 Washington Street, Columbia, NJ 7832 |
| County (SSA Code) | Warren (390) |
| Phone Number | 908-496-4307 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 33 |
| Average Number of Residents | 33 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | TAG SENIOR CARE LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1997-08-29 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.14085 |
| Reported LPN Staffing Hours per Resident per Day | 0.45565 |
| Reported RN Staffing - Hours per Resident per Day | 0.59382 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.04947 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.19032 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.09293 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.59595 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.24166 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.93053 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.47081 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-27 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-04 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |