Avon Health Center - Avon Nursing Home
General Information
UPDATEFederal Provider Number
75244
Provider Name
AVON HEALTH CENTER
Provider Address
652 WEST AVON RD
AVON, CT 6001
AVON, CT 6001
Provider Phone Number
(860) 673-2521
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVON CONVALESCENT HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.52304
Reported LPN Staffing Hours per Resident per Day
0.36957
Reported RN Staffing Hours per Resident per Day
1.05000
Reported Licensed Staffing Hours per Resident per Day
1.41957
Reported Total Nurse Staffing Hours per Resident per Day
3.94261
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00913
Expected CNA Staffing Hours per Resident per Day
2.63413
Expected LPN Staffing Hours per Resident per Day
0.63296
Expected RN Staffing Hours per Resident per Day
0.95128
Expected Total Nurse Staffing Hours per Resident per Day
4.21837
Adjusted CNA Staffing Hours per Resident per Day
2.35022
Adjusted LPN Staffing Hours per Resident per Day
0.48462
Adjusted RN Staffing Hours per Resident per Day
0.82474
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76740
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
48
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
8
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
5915
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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