Apple Rehab Mystic - Mystic Nursing Home

General Information

UPDATE
Federal Provider Number
75327
Provider Name
APPLE REHAB MYSTIC
Provider Address
28 BROADWAY
MYSTIC, CT 6355
Provider Phone Number
(860) 536-9655
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
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MARY ELIZABETH NURSING CTR. INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.08300
Reported LPN Staffing Hours per Resident per Day
0.53500
Reported RN Staffing Hours per Resident per Day
0.86200
Reported Licensed Staffing Hours per Resident per Day
1.39700
Reported Total Nurse Staffing Hours per Resident per Day
3.48000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12400
Expected CNA Staffing Hours per Resident per Day
2.49868
Expected LPN Staffing Hours per Resident per Day
0.61865
Expected RN Staffing Hours per Resident per Day
0.96361
Expected Total Nurse Staffing Hours per Resident per Day
4.08093
Adjusted CNA Staffing Hours per Resident per Day
2.04551
Adjusted LPN Staffing Hours per Resident per Day
0.71778
Adjusted RN Staffing Hours per Resident per Day
0.66841
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43733
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-05-15
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
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
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