Apple Rehab Watertown - Watertown Nursing Home
General Information
UPDATEFederal Provider Number
75181
Provider Name
APPLE REHAB WATERTOWN
Provider Address
35 BUNKER HILL RD
WATERTOWN, CT 6795
WATERTOWN, CT 6795
Provider Phone Number
(860) 274-5428
Provider SSA County
20
Provider County Name
Litchfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
103
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
1967-04-17
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.18786
Reported LPN Staffing Hours per Resident per Day
0.66699
Reported RN Staffing Hours per Resident per Day
0.73544
Reported Licensed Staffing Hours per Resident per Day
1.40243
Reported Total Nurse Staffing Hours per Resident per Day
3.59029
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28010
Expected CNA Staffing Hours per Resident per Day
2.38205
Expected LPN Staffing Hours per Resident per Day
0.61207
Expected RN Staffing Hours per Resident per Day
1.02082
Expected Total Nurse Staffing Hours per Resident per Day
4.01494
Adjusted CNA Staffing Hours per Resident per Day
2.25367
Adjusted LPN Staffing Hours per Resident per Day
0.90447
Adjusted RN Staffing Hours per Resident per Day
0.53831
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60456
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
7
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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