Avery Nursing Home - Hartford Nursing Home
General Information
UPDATEFederal Provider Number
75063
Provider Name
AVERY NURSING HOME
Provider Address
705 NEW BRITAIN AVE
HARTFORD, CT 6106
HARTFORD, CT 6106
Provider Phone Number
8605279126
Provider SSA County
10
Provider County Name
Hartford
Ownership Type
Non profit - Corporation
Number of Certified Beds
199
Number of Residents in Certified Beds
170
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHURCH HOMES, INC. CONGREGATIONAL
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
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.02294
Reported LPN Staffing Hours per Resident per Day
0.82676
Reported RN Staffing Hours per Resident per Day
0.78235
Reported Licensed Staffing Hours per Resident per Day
1.60912
Reported Total Nurse Staffing Hours per Resident per Day
3.63205
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06735
Expected CNA Staffing Hours per Resident per Day
2.22691
Expected LPN Staffing Hours per Resident per Day
0.61375
Expected RN Staffing Hours per Resident per Day
0.98380
Expected Total Nurse Staffing Hours per Resident per Day
3.82446
Adjusted CNA Staffing Hours per Resident per Day
2.22895
Adjusted LPN Staffing Hours per Resident per Day
1.11806
Adjusted RN Staffing Hours per Resident per Day
0.59420
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82810
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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