Apple Rehab Coccomo - Meriden Nursing Home
General Information
UPDATEFederal Provider Number
75345
Provider Name
APPLE REHAB COCCOMO
Provider Address
33 CONE AVE
MERIDEN, CT 6450
MERIDEN, CT 6450
Provider Phone Number
(203) 238-1606
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDEN HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1991-05-17
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
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.10500
Reported LPN Staffing Hours per Resident per Day
0.85111
Reported RN Staffing Hours per Resident per Day
0.60667
Reported Licensed Staffing Hours per Resident per Day
1.45778
Reported Total Nurse Staffing Hours per Resident per Day
3.56278
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12611
Expected CNA Staffing Hours per Resident per Day
2.44574
Expected LPN Staffing Hours per Resident per Day
0.61276
Expected RN Staffing Hours per Resident per Day
0.94154
Expected Total Nurse Staffing Hours per Resident per Day
4.00004
Adjusted CNA Staffing Hours per Resident per Day
2.11185
Adjusted LPN Staffing Hours per Resident per Day
1.15286
Adjusted RN Staffing Hours per Resident per Day
0.48145
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59027
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-02-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
2
Number of Fines
3
Total Amount of Fines in Dollars
6815
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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