Apple Rehab Saybrook - Old Saybrook Nursing Home
General Information
UPDATEFederal Provider Number
75070
Provider Name
APPLE REHAB SAYBROOK
Provider Address
1775 BOSTON POST RD
OLD SAYBROOK, CT 6475
OLD SAYBROOK, CT 6475
Provider Phone Number
(860) 399-6216
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAYBROOK HEALTH CARE CENTER, 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
3
Overall Rating Footnote
Health Inspection Rating
2
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
2.04742
Reported LPN Staffing Hours per Resident per Day
0.74330
Reported RN Staffing Hours per Resident per Day
0.60876
Reported Licensed Staffing Hours per Resident per Day
1.35206
Reported Total Nurse Staffing Hours per Resident per Day
3.39948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06907
Expected CNA Staffing Hours per Resident per Day
2.42796
Expected LPN Staffing Hours per Resident per Day
0.60429
Expected RN Staffing Hours per Resident per Day
0.88433
Expected Total Nurse Staffing Hours per Resident per Day
3.91658
Adjusted CNA Staffing Hours per Resident per Day
2.06913
Adjusted LPN Staffing Hours per Resident per Day
1.02093
Adjusted RN Staffing Hours per Resident per Day
0.51436
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49871
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
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
32
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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