Chestelm Health Care - Moodus Nursing Home
General Information
UPDATEFederal Provider Number
75307
Provider Name
CHESTELM HEALTH CARE
Provider Address
534 TOWN ST
MOODUS, CT 6469
MOODUS, CT 6469
Provider Phone Number
(860) 873-1455
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHESTELM HEALTH CARE, INC
Date First Approved to Provide Medicare and Medicaid services
1986-05-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.83873
Reported LPN Staffing Hours per Resident per Day
0.44085
Reported RN Staffing Hours per Resident per Day
1.07394
Reported Licensed Staffing Hours per Resident per Day
1.51479
Reported Total Nurse Staffing Hours per Resident per Day
4.35352
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11479
Expected CNA Staffing Hours per Resident per Day
2.31294
Expected LPN Staffing Hours per Resident per Day
0.58741
Expected RN Staffing Hours per Resident per Day
0.83066
Expected Total Nurse Staffing Hours per Resident per Day
3.73102
Adjusted CNA Staffing Hours per Resident per Day
3.01148
Adjusted LPN Staffing Hours per Resident per Day
0.62291
Adjusted RN Staffing Hours per Resident per Day
0.96604
Adjusted Total Nurse Staffing Hours per Resident per Day
4.70344
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
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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