Bishop Wicke Health & Rehab Ct - Shelton Nursing Home
General Information
UPDATEFederal Provider Number
75163
Provider Name
BISHOP WICKE HEALTH & REHAB CT
Provider Address
584 LONG HILL AVE
SHELTON, CT 6484
SHELTON, CT 6484
Provider Phone Number
(203) 929-5321
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
Non profit - Other
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
BISHOP WICKE HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1968-06-14
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.26261
Reported LPN Staffing Hours per Resident per Day
0.51036
Reported RN Staffing Hours per Resident per Day
1.38063
Reported Licensed Staffing Hours per Resident per Day
1.89099
Reported Total Nurse Staffing Hours per Resident per Day
5.15360
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11126
Expected CNA Staffing Hours per Resident per Day
2.54720
Expected LPN Staffing Hours per Resident per Day
0.64270
Expected RN Staffing Hours per Resident per Day
1.09751
Expected Total Nurse Staffing Hours per Resident per Day
4.28742
Adjusted CNA Staffing Hours per Resident per Day
3.14285
Adjusted LPN Staffing Hours per Resident per Day
0.65909
Adjusted RN Staffing Hours per Resident per Day
0.93995
Adjusted Total Nurse Staffing Hours per Resident per Day
4.84526
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-02-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-01-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
3995
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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