Pendleton Health & Rehabilitation Center - Mystic Nursing Home
General Information
UPDATEFederal Provider Number
75341
Provider Name
PENDLETON HEALTH & REHABILITATION CENTER
Provider Address
44 MARITIME DRIVE
MYSTIC, CT 6355
MYSTIC, CT 6355
Provider Phone Number
8605721700
Provider SSA County
50
Provider County Name
New London
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC MYSTIC OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1991-02-20
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.93889
Reported LPN Staffing Hours per Resident per Day
0.95370
Reported RN Staffing Hours per Resident per Day
0.85093
Reported Licensed Staffing Hours per Resident per Day
1.80463
Reported Total Nurse Staffing Hours per Resident per Day
3.74352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16944
Expected CNA Staffing Hours per Resident per Day
2.43329
Expected LPN Staffing Hours per Resident per Day
0.66471
Expected RN Staffing Hours per Resident per Day
1.16650
Expected Total Nurse Staffing Hours per Resident per Day
4.26450
Adjusted CNA Staffing Hours per Resident per Day
1.95515
Adjusted LPN Staffing Hours per Resident per Day
1.19086
Adjusted RN Staffing Hours per Resident per Day
0.54506
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53846
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-12-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Avalon Health Care Center At Stoneridge
186 Jerry Browne Road |
MYSTIC CT 6355 | 0.3 mile away
Mystic Healthcare & Rehabilitation Center, Llc
475 High St |
MYSTIC CT 6355 | 1.4 miles away
Apple Rehab Mystic
28 Broadway |
MYSTIC CT 6355 | 1.4 miles away
Groton Regency Center
1145 Poquonnock Rd |
GROTON CT 6340 | 5.1 miles away
Fairview
235 Lestertown Rd |
GROTON CT 6340 | 6.9 miles away
Beechwood
31 Vauxhall St |
NEW LONDON CT 6320 | 8 miles away
Crossings East Health And Rehabilitation Center
78 Viets St Extension |
NEW LONDON CT 6320 | 8.5 miles away
Crossings West Health And Rehabilitation Center
89 Viets St Ext |
NEW LONDON CT 6320 | 8.6 miles away
New London Rehab & Care Of Waterford
88 Clark Lane |
WATERFORD CT 6385 | 9.3 miles away
Greentree Manor Nursing & Reha
4 Greentree Dr |
WATERFORD CT 6385 | 10.2 miles away
Three Rivers
60 Crouch Avenue |
NORWICH CT 6360 | 11.3 miles away
Bayview Health Care
301 Rope Ferry Rd |
WATERFORD CT 6385 | 11.5 miles away
Orchard Grove Specialty Care Center, Llc
5 Richard Brown Drive |
UNCASVILLE CT 6382 | 11.8 miles away
Norwichtown Rehabilitation & C
93 West Town Street |
NORWICH CT 6360 | 14.9 miles away
Bride Brook Health & Rehabilitation Center
23 Liberty Way |
NIANTIC CT 6357 | 15.5 miles away
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