Connecticut Nursing Homes >> Plymouth Nursing Homes >> Cook Willow Convalescent Hospi

Cook Willow Convalescent Hospi - Plymouth Nursing Home

General Information

UPDATE
Federal Provider Number
75349
Provider Name
COOK WILLOW CONVALESCENT HOSPI
Provider Address
81 HILLSIDE AVENUE
PLYMOUTH, CT 6782
Provider Phone Number
8602838208
Provider SSA County
20
Provider County Name
Litchfield
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COOK WILLOW CONVALESCENT HOSPITAL, INC.
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.56091
Reported LPN Staffing Hours per Resident per Day
0.41455
Reported RN Staffing Hours per Resident per Day
1.15000
Reported Licensed Staffing Hours per Resident per Day
1.56455
Reported Total Nurse Staffing Hours per Resident per Day
4.12546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09091
Expected CNA Staffing Hours per Resident per Day
2.36969
Expected LPN Staffing Hours per Resident per Day
0.60818
Expected RN Staffing Hours per Resident per Day
0.93049
Expected Total Nurse Staffing Hours per Resident per Day
3.90836
Adjusted CNA Staffing Hours per Resident per Day
2.65170
Adjusted LPN Staffing Hours per Resident per Day
0.56575
Adjusted RN Staffing Hours per Resident per Day
0.92347
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25480
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-10-03
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
11
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-09-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
76.00000
Number of Facility Reported Incidents
3
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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