Autumn Lake Healthcare At Norwalk - Norwalk Nursing Home
General Information
UPDATEFederal Provider Number
75387
Provider Name
AUTUMN LAKE HEALTHCARE AT NORWALK
Provider Address
34 MIDROCKS DRIVE
NORWALK, CT 6851
NORWALK, CT 6851
Provider Phone Number
(203) 847-9686
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORWALK OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-30
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.02931
Reported LPN Staffing Hours per Resident per Day
0.76207
Reported RN Staffing Hours per Resident per Day
2.39621
Reported Licensed Staffing Hours per Resident per Day
3.15828
Reported Total Nurse Staffing Hours per Resident per Day
5.18759
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07483
Expected CNA Staffing Hours per Resident per Day
2.40888
Expected LPN Staffing Hours per Resident per Day
0.63214
Expected RN Staffing Hours per Resident per Day
0.97084
Expected Total Nurse Staffing Hours per Resident per Day
4.01186
Adjusted CNA Staffing Hours per Resident per Day
2.06707
Adjusted LPN Staffing Hours per Resident per Day
1.00060
Adjusted RN Staffing Hours per Resident per Day
1.84422
Adjusted Total Nurse Staffing Hours per Resident per Day
5.21221
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-05-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-06-27
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
22
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
219
Cycle 3 Standard Health Survey Date
2012-07-30
Cycle 3 Number of Health Revisits
3
Cycle 3 Health Revisit Score
153
Cycle 3 Total Health Score
372
Total Weighted Health Survey Score
97.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
10
Number of Fines
2
Total Amount of Fines in Dollars
11863
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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