Apple Rehab Colchester - Colchester Nursing Home
General Information
UPDATEFederal Provider Number
75231
Provider Name
APPLE REHAB COLCHESTER
Provider Address
36 BROADWAY
COLCHESTER, CT 6415
COLCHESTER, CT 6415
Provider Phone Number
(860) 537-4606
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERBURY EXTENDED CARE FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-06-10
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.05909
Reported LPN Staffing Hours per Resident per Day
0.36182
Reported RN Staffing Hours per Resident per Day
1.20364
Reported Licensed Staffing Hours per Resident per Day
1.56545
Reported Total Nurse Staffing Hours per Resident per Day
3.62455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12364
Expected CNA Staffing Hours per Resident per Day
2.37967
Expected LPN Staffing Hours per Resident per Day
0.58802
Expected RN Staffing Hours per Resident per Day
0.96606
Expected Total Nurse Staffing Hours per Resident per Day
3.93376
Adjusted CNA Staffing Hours per Resident per Day
2.12314
Adjusted LPN Staffing Hours per Resident per Day
0.51071
Adjusted RN Staffing Hours per Resident per Day
0.93096
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71406
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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
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