Glendale Center - Naugatuck Nursing Home
General Information
UPDATEFederal Provider Number
75240
Provider Name
GLENDALE CENTER
Provider Address
4 HAZEL AVE
NAUGATUCK, CT 6770
NAUGATUCK, CT 6770
Provider Phone Number
(203) 723-1456
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
4 HAZEL AVENUE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1975-06-10
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
2.05541
Reported LPN Staffing Hours per Resident per Day
0.65495
Reported RN Staffing Hours per Resident per Day
0.98559
Reported Licensed Staffing Hours per Resident per Day
1.64054
Reported Total Nurse Staffing Hours per Resident per Day
3.69595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14685
Expected CNA Staffing Hours per Resident per Day
2.36542
Expected LPN Staffing Hours per Resident per Day
0.63781
Expected RN Staffing Hours per Resident per Day
1.12205
Expected Total Nurse Staffing Hours per Resident per Day
4.12528
Adjusted CNA Staffing Hours per Resident per Day
2.13212
Adjusted LPN Staffing Hours per Resident per Day
0.85230
Adjusted RN Staffing Hours per Resident per Day
0.65633
Adjusted Total Nurse Staffing Hours per Resident per Day
3.61139
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
10725
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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