Apple Rehab Farmington Valley - Plainville Nursing Home
General Information
UPDATEFederal Provider Number
75044
Provider Name
APPLE REHAB FARMINGTON VALLEY
Provider Address
269 FARMINGTON AVE
PLAINVILLE, CT 6062
PLAINVILLE, CT 6062
Provider Phone Number
(860) 747-1637
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
173
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLAINVILLE HEALTH CARE CTR. INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
Health Inspection Rating Footnote
QM Rating
2
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
1.85746
Reported LPN Staffing Hours per Resident per Day
0.73421
Reported RN Staffing Hours per Resident per Day
1.08728
Reported Licensed Staffing Hours per Resident per Day
1.82149
Reported Total Nurse Staffing Hours per Resident per Day
3.67895
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19342
Expected CNA Staffing Hours per Resident per Day
2.36456
Expected LPN Staffing Hours per Resident per Day
0.67795
Expected RN Staffing Hours per Resident per Day
1.18216
Expected Total Nurse Staffing Hours per Resident per Day
4.22467
Adjusted CNA Staffing Hours per Resident per Day
1.92749
Adjusted LPN Staffing Hours per Resident per Day
0.89888
Adjusted RN Staffing Hours per Resident per Day
0.68723
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51021
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
26
Cycle 1 Total Health Score
78
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
23
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
75.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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