Connecticut Nursing Homes >> Waterbury Nursing Homes >> Cheshire House Health Care Fac

Cheshire House Health Care Fac - Waterbury Nursing Home

General Information

UPDATE
Federal Provider Number
75373
Provider Name
CHESHIRE HOUSE HEALTH CARE FAC
Provider Address
3396 E MAIN STREET
WATERBURY, CT 6705
Provider Phone Number
(203) 754-2161
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
72
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHESHIRE HOUSE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.01875
Reported LPN Staffing Hours per Resident per Day
0.97222
Reported RN Staffing Hours per Resident per Day
0.88681
Reported Licensed Staffing Hours per Resident per Day
1.85903
Reported Total Nurse Staffing Hours per Resident per Day
4.87778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41111
Expected CNA Staffing Hours per Resident per Day
2.64144
Expected LPN Staffing Hours per Resident per Day
0.68058
Expected RN Staffing Hours per Resident per Day
1.18776
Expected Total Nurse Staffing Hours per Resident per Day
4.50978
Adjusted CNA Staffing Hours per Resident per Day
2.80420
Adjusted LPN Staffing Hours per Resident per Day
1.18566
Adjusted RN Staffing Hours per Resident per Day
0.55788
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35982
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-05-22
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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