Governor's House Rehabilitation & Nursing Center - Simsbury Nursing Home
General Information
UPDATEFederal Provider Number
75338
Provider Name
GOVERNOR'S HOUSE REHABILITATION & NURSING CENTER
Provider Address
36 FIRETOWN RD
SIMSBURY, CT 6070
SIMSBURY, CT 6070
Provider Phone Number
(860) 658-1018
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
73
Number of Residents in Certified Beds
67
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
1990-07-25
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.26791
Reported LPN Staffing Hours per Resident per Day
0.68284
Reported RN Staffing Hours per Resident per Day
1.00896
Reported Licensed Staffing Hours per Resident per Day
1.69179
Reported Total Nurse Staffing Hours per Resident per Day
3.95971
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12612
Expected CNA Staffing Hours per Resident per Day
2.36865
Expected LPN Staffing Hours per Resident per Day
0.63557
Expected RN Staffing Hours per Resident per Day
1.00157
Expected Total Nurse Staffing Hours per Resident per Day
4.00579
Adjusted CNA Staffing Hours per Resident per Day
2.34934
Adjusted LPN Staffing Hours per Resident per Day
0.89173
Adjusted RN Staffing Hours per Resident per Day
0.75271
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98453
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
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
28
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
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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