Green Mountain Nursing And Rehabilitation - Colchester Nursing Home

General Information

UPDATE
Federal Provider Number
475040
Provider Name
GREEN MOUNTAIN NURSING AND REHABILITATION
Provider Address
475 ETHAN ALLEN AVENUE
COLCHESTER, VT 5446
Provider Phone Number
(802) 655-1025
Provider SSA County
30
Provider County Name
Chittenden
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
73
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TSS, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
3.05368
Reported LPN Staffing Hours per Resident per Day
1.20882
Reported RN Staffing Hours per Resident per Day
0.95662
Reported Licensed Staffing Hours per Resident per Day
2.16544
Reported Total Nurse Staffing Hours per Resident per Day
5.21912
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14265
Expected CNA Staffing Hours per Resident per Day
2.57905
Expected LPN Staffing Hours per Resident per Day
0.65598
Expected RN Staffing Hours per Resident per Day
1.04364
Expected Total Nurse Staffing Hours per Resident per Day
4.27868
Adjusted CNA Staffing Hours per Resident per Day
2.90526
Adjusted LPN Staffing Hours per Resident per Day
1.52950
Adjusted RN Staffing Hours per Resident per Day
0.68489
Adjusted Total Nurse Staffing Hours per Resident per Day
4.91688
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-07-16
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-06-19
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
42
Cycle 2 Total Health Score
126
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
7
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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