Greentree Manor Nursing & Reha - Waterford Nursing Home
General Information
UPDATEFederal Provider Number
75113
Provider Name
GREENTREE MANOR NURSING & REHA
Provider Address
4 GREENTREE DR
WATERFORD, CT 6385
WATERFORD, CT 6385
Provider Phone Number
(860) 442-0647
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
90
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENTREE MANOR NURSING & REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1970-01-01
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
5
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
2.65427
Reported LPN Staffing Hours per Resident per Day
0.76829
Reported RN Staffing Hours per Resident per Day
1.09634
Reported Licensed Staffing Hours per Resident per Day
1.86463
Reported Total Nurse Staffing Hours per Resident per Day
4.51890
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23171
Expected CNA Staffing Hours per Resident per Day
2.47493
Expected LPN Staffing Hours per Resident per Day
0.61536
Expected RN Staffing Hours per Resident per Day
0.94988
Expected Total Nurse Staffing Hours per Resident per Day
4.04017
Adjusted CNA Staffing Hours per Resident per Day
2.63150
Adjusted LPN Staffing Hours per Resident per Day
1.03627
Adjusted RN Staffing Hours per Resident per Day
0.86241
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50853
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
189
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
95
Cycle 1 Total Health Score
284
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-01
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
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
160.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
5135
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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