Advanced Nursing & Rehab Center Of New Haven - New Haven Nursing Home
General Information
UPDATEFederal Provider Number
75348
Provider Name
ADVANCED NURSING & REHAB CENTER OF NEW HAVEN
Provider Address
169 DAVENPORT AVE
NEW HAVEN, CT 6519
NEW HAVEN, CT 6519
Provider Phone Number
(203) 789-1650
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
226
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ADVANCED NURSING & REHABILITATION CENTER OF NEW HAVEN LLC
Date First Approved to Provide Medicare and Medicaid services
1991-08-01
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.67273
Reported LPN Staffing Hours per Resident per Day
0.97879
Reported RN Staffing Hours per Resident per Day
0.55000
Reported Licensed Staffing Hours per Resident per Day
1.52879
Reported Total Nurse Staffing Hours per Resident per Day
4.20152
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04848
Expected CNA Staffing Hours per Resident per Day
2.41773
Expected LPN Staffing Hours per Resident per Day
0.62814
Expected RN Staffing Hours per Resident per Day
0.90107
Expected Total Nurse Staffing Hours per Resident per Day
3.94694
Adjusted CNA Staffing Hours per Resident per Day
2.71249
Adjusted LPN Staffing Hours per Resident per Day
1.29334
Adjusted RN Staffing Hours per Resident per Day
0.45608
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29089
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
27
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
156
Cycle 3 Standard Health Survey Date
2013-06-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
156
Total Weighted Health Survey Score
78.00000
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
17
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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