Autumn Lake Healthcare At Cromwell - Cromwell Nursing Home
General Information
UPDATEFederal Provider Number
75263
Provider Name
AUTUMN LAKE HEALTHCARE AT CROMWELL
Provider Address
385 MAIN STREET
CROMWELL, CT 6416
CROMWELL, CT 6416
Provider Phone Number
(860) 635-5613
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROMWELL OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1979-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15362
Reported LPN Staffing Hours per Resident per Day
1.13125
Reported RN Staffing Hours per Resident per Day
0.58618
Reported Licensed Staffing Hours per Resident per Day
1.71743
Reported Total Nurse Staffing Hours per Resident per Day
3.87105
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11875
Expected CNA Staffing Hours per Resident per Day
2.23166
Expected LPN Staffing Hours per Resident per Day
0.65956
Expected RN Staffing Hours per Resident per Day
1.04292
Expected Total Nurse Staffing Hours per Resident per Day
3.93415
Adjusted CNA Staffing Hours per Resident per Day
2.36789
Adjusted LPN Staffing Hours per Resident per Day
1.42358
Adjusted RN Staffing Hours per Resident per Day
0.41997
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96625
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
92
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2012-06-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
5850
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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