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Bloomfield Health Care Center - Bloomfield Nursing Home

General Information

UPDATE
Federal Provider Number
75138
Provider Name
BLOOMFIELD HEALTH CARE CENTER
Provider Address
355 PARK AVENUE
BLOOMFIELD, CT 6002
Provider Phone Number
(860) 242-8595
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
112
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BLOOMFIELD HEALTH CARE CENTER OF CT.,LLC
Date First Approved to Provide Medicare and Medicaid services
1990-10-01
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
2.33482
Reported LPN Staffing Hours per Resident per Day
0.68839
Reported RN Staffing Hours per Resident per Day
0.47589
Reported Licensed Staffing Hours per Resident per Day
1.16429
Reported Total Nurse Staffing Hours per Resident per Day
3.49910
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03304
Expected CNA Staffing Hours per Resident per Day
2.55791
Expected LPN Staffing Hours per Resident per Day
0.66981
Expected RN Staffing Hours per Resident per Day
0.92867
Expected Total Nurse Staffing Hours per Resident per Day
4.15638
Adjusted CNA Staffing Hours per Resident per Day
2.23970
Adjusted LPN Staffing Hours per Resident per Day
0.85303
Adjusted RN Staffing Hours per Resident per Day
0.38290
Adjusted Total Nurse Staffing Hours per Resident per Day
3.39346
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-06
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
155
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
155
Total Weighted Health Survey Score
63.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
2
Total Amount of Fines in Dollars
6650
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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