Golden Hill Rehab Pavilion - Milford Nursing Home
General Information
UPDATEFederal Provider Number
75213
Provider Name
GOLDEN HILL REHAB PAVILION
Provider Address
2028 BRIDGEPORT AVE
MILFORD, CT 6460
MILFORD, CT 6460
Provider Phone Number
(203) 877-0371
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1972-02-10
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.24300
Reported LPN Staffing Hours per Resident per Day
0.62850
Reported RN Staffing Hours per Resident per Day
0.76550
Reported Licensed Staffing Hours per Resident per Day
1.39400
Reported Total Nurse Staffing Hours per Resident per Day
3.63700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11450
Expected CNA Staffing Hours per Resident per Day
2.36196
Expected LPN Staffing Hours per Resident per Day
0.66481
Expected RN Staffing Hours per Resident per Day
1.07625
Expected Total Nurse Staffing Hours per Resident per Day
4.10302
Adjusted CNA Staffing Hours per Resident per Day
2.33012
Adjusted LPN Staffing Hours per Resident per Day
0.78467
Adjusted RN Staffing Hours per Resident per Day
0.53146
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57307
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
4
Number of Fines
2
Total Amount of Fines in Dollars
5100
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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