Caleb Hitchcock Health Care Ce - Bloomfield Nursing Home
General Information
UPDATEFederal Provider Number
75301
Provider Name
CALEB HITCHCOCK HEALTH CARE CE
Provider Address
40 LOEFFLER RD
BLOOMFIELD, CT 6002
BLOOMFIELD, CT 6002
Provider Phone Number
(860) 726-2000
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
DUNCASTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-07-03
Continuing Care Retirement Community
Y
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
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
3.12818
Reported LPN Staffing Hours per Resident per Day
0.63455
Reported RN Staffing Hours per Resident per Day
1.27364
Reported Licensed Staffing Hours per Resident per Day
1.90818
Reported Total Nurse Staffing Hours per Resident per Day
5.03637
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.56184
Expected LPN Staffing Hours per Resident per Day
0.57553
Expected RN Staffing Hours per Resident per Day
0.84622
Expected Total Nurse Staffing Hours per Resident per Day
3.98358
Adjusted CNA Staffing Hours per Resident per Day
2.99614
Adjusted LPN Staffing Hours per Resident per Day
0.91512
Adjusted RN Staffing Hours per Resident per Day
1.12461
Adjusted Total Nurse Staffing Hours per Resident per Day
5.09619
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
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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