Fairview - Groton Nursing Home
General Information
UPDATEFederal Provider Number
75288
Provider Name
FAIRVIEW
Provider Address
235 LESTERTOWN RD
GROTON, CT 6340
GROTON, CT 6340
Provider Phone Number
(860) 445-7478
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ODD FELLOWS HOME OF CT
Date First Approved to Provide Medicare and Medicaid services
1979-10-01
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
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
2.97939
Reported LPN Staffing Hours per Resident per Day
0.72544
Reported RN Staffing Hours per Resident per Day
0.85965
Reported Licensed Staffing Hours per Resident per Day
1.58509
Reported Total Nurse Staffing Hours per Resident per Day
4.56448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07193
Expected CNA Staffing Hours per Resident per Day
2.60155
Expected LPN Staffing Hours per Resident per Day
0.58475
Expected RN Staffing Hours per Resident per Day
0.86446
Expected Total Nurse Staffing Hours per Resident per Day
4.05075
Adjusted CNA Staffing Hours per Resident per Day
2.81007
Adjusted LPN Staffing Hours per Resident per Day
1.02970
Adjusted RN Staffing Hours per Resident per Day
0.74305
Adjusted Total Nurse Staffing Hours per Resident per Day
4.54211
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
3
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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