Fairview Healthcare Center Of Greenwich - Greenwich Nursing Home
General Information
UPDATEFederal Provider Number
75069
Provider Name
FAIRVIEW HEALTHCARE CENTER OF GREENWICH
Provider Address
1188 KING STREET
GREENWICH, CT 6831
GREENWICH, CT 6831
Provider Phone Number
(203) 531-8300
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRVIEW HEALTH OF GREENWICH 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
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
4
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
2.50000
Reported LPN Staffing Hours per Resident per Day
0.81532
Reported RN Staffing Hours per Resident per Day
0.90161
Reported Licensed Staffing Hours per Resident per Day
1.71694
Reported Total Nurse Staffing Hours per Resident per Day
4.21693
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20968
Expected CNA Staffing Hours per Resident per Day
2.21297
Expected LPN Staffing Hours per Resident per Day
0.63322
Expected RN Staffing Hours per Resident per Day
1.05247
Expected Total Nurse Staffing Hours per Resident per Day
3.89866
Adjusted CNA Staffing Hours per Resident per Day
2.77195
Adjusted LPN Staffing Hours per Resident per Day
1.06870
Adjusted RN Staffing Hours per Resident per Day
0.64010
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35997
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
293
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
293
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
187.83300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
4
Number of Fines
5
Total Amount of Fines in Dollars
25135
Number of Payment Denials
0
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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