Cherry Brook Health Care Cente - Collinsville Nursing Home
General Information
UPDATEFederal Provider Number
75396
Provider Name
CHERRY BROOK HEALTH CARE CENTE
Provider Address
102 DYER AVENUE
COLLINSVILLE, CT 6022
COLLINSVILLE, CT 6022
Provider Phone Number
8606937777
Provider SSA County
10
Provider County Name
Hartford
Ownership Type
Non profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW HORIZONS INC
Date First Approved to Provide Medicare and Medicaid services
1994-01-27
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.24343
Reported LPN Staffing Hours per Resident per Day
0.76818
Reported RN Staffing Hours per Resident per Day
0.78737
Reported Licensed Staffing Hours per Resident per Day
1.55556
Reported Total Nurse Staffing Hours per Resident per Day
3.79898
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18990
Expected CNA Staffing Hours per Resident per Day
2.59167
Expected LPN Staffing Hours per Resident per Day
0.62760
Expected RN Staffing Hours per Resident per Day
1.06475
Expected Total Nurse Staffing Hours per Resident per Day
4.28402
Adjusted CNA Staffing Hours per Resident per Day
2.12400
Adjusted LPN Staffing Hours per Resident per Day
1.01591
Adjusted RN Staffing Hours per Resident per Day
0.55255
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57452
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
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
44
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-02
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-10-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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