Apple Rehab West Haven - West Haven Nursing Home

General Information

UPDATE
Federal Provider Number
75403
Provider Name
APPLE REHAB WEST HAVEN
Provider Address
308 SAVIN AVENUE
WEST HAVEN, CT 6516
Provider Phone Number
(203) 932-6411
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBOR VIEW MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1994-02-15
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.10779
Reported LPN Staffing Hours per Resident per Day
0.78182
Reported RN Staffing Hours per Resident per Day
0.76234
Reported Licensed Staffing Hours per Resident per Day
1.54416
Reported Total Nurse Staffing Hours per Resident per Day
3.65195
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11883
Expected CNA Staffing Hours per Resident per Day
2.13197
Expected LPN Staffing Hours per Resident per Day
0.58409
Expected RN Staffing Hours per Resident per Day
0.98592
Expected Total Nurse Staffing Hours per Resident per Day
3.70198
Adjusted CNA Staffing Hours per Resident per Day
2.42587
Adjusted LPN Staffing Hours per Resident per Day
1.11097
Adjusted RN Staffing Hours per Resident per Day
0.57776
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97642
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
20
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-04-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
98.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
14700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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