Connecticut Nursing Homes >> Bristol Nursing Homes >> Countryside Manor Of Bristol

Countryside Manor Of Bristol - Bristol Nursing Home

General Information

UPDATE
Federal Provider Number
75415
Provider Name
COUNTRYSIDE MANOR OF BRISTOL
Provider Address
1660 STAFFORD AVENUE
BRISTOL, CT 6010
Provider Phone Number
(860) 583-8483
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRISTOL CCH GROUP, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-04-06
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
4
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
2.51481
Reported LPN Staffing Hours per Resident per Day
0.89506
Reported RN Staffing Hours per Resident per Day
0.98272
Reported Licensed Staffing Hours per Resident per Day
1.87778
Reported Total Nurse Staffing Hours per Resident per Day
4.39259
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18086
Expected CNA Staffing Hours per Resident per Day
2.56453
Expected LPN Staffing Hours per Resident per Day
0.66767
Expected RN Staffing Hours per Resident per Day
1.06618
Expected Total Nurse Staffing Hours per Resident per Day
4.29838
Adjusted CNA Staffing Hours per Resident per Day
2.40613
Adjusted LPN Staffing Hours per Resident per Day
1.11267
Adjusted RN Staffing Hours per Resident per Day
0.68871
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11925
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
35.33300
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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