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Bridgeport Manor - Bridgeport Nursing Home

General Information

UPDATE
Federal Provider Number
75369
Provider Name
BRIDGEPORT MANOR
Provider Address
540 BOND STREET
BRIDGEPORT, CT 6610
Provider Phone Number
2033846500
Provider SSA County
0
Provider County Name
Fairfield
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
193
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRIDGEPORT HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.16658
Reported LPN Staffing Hours per Resident per Day
1.13886
Reported RN Staffing Hours per Resident per Day
0.31114
Reported Licensed Staffing Hours per Resident per Day
1.45000
Reported Total Nurse Staffing Hours per Resident per Day
4.61658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02953
Expected CNA Staffing Hours per Resident per Day
2.12952
Expected LPN Staffing Hours per Resident per Day
0.61880
Expected RN Staffing Hours per Resident per Day
0.85903
Expected Total Nurse Staffing Hours per Resident per Day
3.60736
Adjusted CNA Staffing Hours per Resident per Day
3.64863
Adjusted LPN Staffing Hours per Resident per Day
1.52756
Adjusted RN Staffing Hours per Resident per Day
0.27064
Adjusted Total Nurse Staffing Hours per Resident per Day
5.15862
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-05
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-24
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
21
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
10
Cycle 3 Health Deficiency Score
116
Cycle 3 Standard Health Survey Date
2013-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
116
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
4225
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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