Edgehill Health Center - Stamford Nursing Home
General Information
UPDATEFederal Provider Number
75421
Provider Name
EDGEHILL HEALTH CENTER
Provider Address
122 PALMERS HILL RD
STAMFORD, CT 6902
STAMFORD, CT 6902
Provider Phone Number
(203) 323-2323
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
46
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
B-IX EDGEHILL SNF LLC
Date First Approved to Provide Medicare and Medicaid services
2000-04-13
Continuing Care Retirement Community
Y
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
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
2.70000
Reported LPN Staffing Hours per Resident per Day
0.48913
Reported RN Staffing Hours per Resident per Day
1.89565
Reported Licensed Staffing Hours per Resident per Day
2.38478
Reported Total Nurse Staffing Hours per Resident per Day
5.08478
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41957
Expected CNA Staffing Hours per Resident per Day
2.52301
Expected LPN Staffing Hours per Resident per Day
0.68722
Expected RN Staffing Hours per Resident per Day
1.24567
Expected Total Nurse Staffing Hours per Resident per Day
4.45591
Adjusted CNA Staffing Hours per Resident per Day
2.62582
Adjusted LPN Staffing Hours per Resident per Day
0.59075
Adjusted RN Staffing Hours per Resident per Day
1.13708
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59979
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
44
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
6825
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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