Carolton Chronic & Conv Hosp, - Fairfield Nursing Home
General Information
UPDATEFederal Provider Number
75034
Provider Name
CAROLTON CHRONIC & CONV HOSP,
Provider Address
400 MILL PLAIN RD
FAIRFIELD, CT 6430
FAIRFIELD, CT 6430
Provider Phone Number
(203) 255-3573
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
229
Number of Residents in Certified Beds
182
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAROLTON CHRONIC AND CONVALESCENT HOSPITAL, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.23434
Reported LPN Staffing Hours per Resident per Day
1.43242
Reported RN Staffing Hours per Resident per Day
0.86813
Reported Licensed Staffing Hours per Resident per Day
2.30055
Reported Total Nurse Staffing Hours per Resident per Day
5.53489
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15797
Expected CNA Staffing Hours per Resident per Day
2.72362
Expected LPN Staffing Hours per Resident per Day
0.61815
Expected RN Staffing Hours per Resident per Day
0.95185
Expected Total Nurse Staffing Hours per Resident per Day
4.29362
Adjusted CNA Staffing Hours per Resident per Day
2.91381
Adjusted LPN Staffing Hours per Resident per Day
1.92332
Adjusted RN Staffing Hours per Resident per Day
0.68148
Adjusted Total Nurse Staffing Hours per Resident per Day
5.19622
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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