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Bergen Regional Medical Center

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About Bergen Regional Medical Center

General Information

Legal Business NameBergen County Improvement Authority
Ownership TypeGovernment - County
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJanuary 1, 1967 ()
Capacity574
Residents551
Percent Occupied96%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsBoth
In HospitalYes
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Bergen Regional Medical Center

Bergen Regional Medical Center
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of New Jersey Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

March 6, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmHealth InspectionHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaint+InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmFire Safety InspectionRestrictions on the use of flammable curtains.

June 6, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintAssist those residents who need help with eating/drinking, grooming and personal and oral hygiene.

January 24, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmHealth InspectionMake sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.
DFewPotential for HarmComplaint+InspectionProvide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.
DFewPotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
DFewPotential for HarmFire Safety InspectionSpecial areas constructed so that walls can resist fire for one hour or an approved fire extinguishing system.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Bergen Regional Medical Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 25min
2hr 20min
ReportedExpected
CNA
25min
40min
ReportedExpected
LPN
50min
55min
ReportedExpected
RN
3hr 35min
3hr 60min
ReportedExpected
Total Nursing

This facility also provides approximately 20min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

97.4%
97.0%
97.0%
96.4%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Seasonal Influenza Vaccine
96.8%
97.6%
97.2%
95.1%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
32.5%
31.0%
34.1%
36.7%
Q1 2015Q2 2015Q3 2015NJ
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.7%
18.3%
15.4%
13.5%
Q1 2015Q2 2015Q3 2015NJ
Received an Antipsychotic Medication
12.4%
13.3%
10.7%
12.9%
Q1 2015Q2 2015Q3 2015NJ
Need for Help with ADLs has Increased
5.2%
9.4%
7.4%
3.7%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
7.3%
6.0%
6.3%
7.3%
Q1 2015Q2 2015Q3 2015NJ
Lose Too Much Weight
6.0%
10.4%
8.0%
6.7%
Q1 2015Q2 2015Q3 2015NJ
High Risk Residents With Pressure Ulcers
0.6%
0.2%
0.0%
3.2%
Q1 2015Q2 2015Q3 2015NJ
Have Depressive Symptoms
2.2%
2.2%
3.0%
3.7%
Q1 2015Q2 2015Q3 2015NJ
With a Urinary Tract Infection
3.4%
2.8%
3.3%
2.5%
Q1 2015Q2 2015Q3 2015NJ
Experiencing One or More Falls with Major Injury
1.1%
1.7%
1.3%
2.7%
Q1 2015Q2 2015Q3 2015NJ
With a Catheter Inserted and Left in Their Bladder
0.7%
0.9%
0.6%
1.3%
Q1 2015Q2 2015Q3 2015NJ
Were Physically Restrained

Quality Measures for Short Stay Residents

81.4%
80.3%
71.7%
86.9%
Q1 2015Q2 2015Q3 2015NJ
Assessed and Appropriately Given the Pneumococcal Vaccine
78.8%
78.8%
78.8%
86.2%
Q1 2015Q2 2015Q3 2015NJ
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
20.4%
17.0%
12.2%
10.9%
Q1 2015Q2 2015Q3 2015NJ
Self Report Moderate to Severe Pain
0.0%
5.9%
9.5%
1.6%
Q1 2015Q2 2015Q3 2015NJ
Newly Received an Antipsychotic Medication
1.5%
2.6%
0.0%
1.1%
Q1 2015Q2 2015Q3 2015NJ
With Pressure Ulcers That Are New or Worsened