Crestfield Rehabilitation Center & Fenwood Manor - Manchester Nursing Home
General Information
UPDATEFederal Provider Number
75013
Provider Name
CRESTFIELD REHABILITATION CENTER & FENWOOD MANOR
Provider Address
565 VERNON ST
MANCHESTER, CT 6040
MANCHESTER, CT 6040
Provider Phone Number
(860) 643-5151
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPECTRUM HEALTHCARE MANCHESTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.41752
Reported LPN Staffing Hours per Resident per Day
0.89231
Reported RN Staffing Hours per Resident per Day
0.65342
Reported Licensed Staffing Hours per Resident per Day
1.54573
Reported Total Nurse Staffing Hours per Resident per Day
3.96325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19530
Expected CNA Staffing Hours per Resident per Day
2.42885
Expected LPN Staffing Hours per Resident per Day
0.61706
Expected RN Staffing Hours per Resident per Day
1.01420
Expected Total Nurse Staffing Hours per Resident per Day
4.06011
Adjusted CNA Staffing Hours per Resident per Day
2.44225
Adjusted LPN Staffing Hours per Resident per Day
1.20024
Adjusted RN Staffing Hours per Resident per Day
0.48140
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93474
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-03-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
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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