Birmingham Health Center - Derby Nursing Home
General Information
UPDATEFederal Provider Number
75059
Provider Name
BIRMINGHAM HEALTH CENTER
Provider Address
210 CHATFIELD ST
DERBY, CT 6418
DERBY, CT 6418
Provider Phone Number
2037357401
Provider SSA County
40
Provider County Name
New Haven
Ownership Type
For profit - Limited Liability
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPECTRUM HEALTHCARE DERBY, LLC
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
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.05495
Reported LPN Staffing Hours per Resident per Day
0.67027
Reported RN Staffing Hours per Resident per Day
0.64775
Reported Licensed Staffing Hours per Resident per Day
1.31802
Reported Total Nurse Staffing Hours per Resident per Day
3.37297
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05586
Expected CNA Staffing Hours per Resident per Day
2.27417
Expected LPN Staffing Hours per Resident per Day
0.68854
Expected RN Staffing Hours per Resident per Day
1.07504
Expected Total Nurse Staffing Hours per Resident per Day
4.03775
Adjusted CNA Staffing Hours per Resident per Day
2.21718
Adjusted LPN Staffing Hours per Resident per Day
0.80797
Adjusted RN Staffing Hours per Resident per Day
0.45021
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36725
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-03-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-02-07
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
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
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Golden Hill Rehab Pavilion
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Whitney Center
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Apple Rehab West Haven
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Glendale Center
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