Blair Manor - Enfield Nursing Home
General Information
UPDATEFederal Provider Number
75056
Provider Name
BLAIR MANOR
Provider Address
612 HAZARD AVE
ENFIELD, CT 6082
ENFIELD, CT 6082
Provider Phone Number
(860) 749-8388
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEALTH CARE ALLIANCE INC. D/B/A BLAIR MANOR
Date First Approved to Provide Medicare and Medicaid services
1969-06-01
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
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
1.92191
Reported LPN Staffing Hours per Resident per Day
0.99270
Reported RN Staffing Hours per Resident per Day
0.49944
Reported Licensed Staffing Hours per Resident per Day
1.49213
Reported Total Nurse Staffing Hours per Resident per Day
3.41405
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07697
Expected CNA Staffing Hours per Resident per Day
2.32643
Expected LPN Staffing Hours per Resident per Day
0.63076
Expected RN Staffing Hours per Resident per Day
0.97743
Expected Total Nurse Staffing Hours per Resident per Day
3.93462
Adjusted CNA Staffing Hours per Resident per Day
2.02705
Adjusted LPN Staffing Hours per Resident per Day
1.30627
Adjusted RN Staffing Hours per Resident per Day
0.38180
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49759
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
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
4
Cycle 3 Standard Health Survey Date
2012-05-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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
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