Grove Manor Nursing Home, Inc - Waterbury Nursing Home
General Information
UPDATEFederal Provider Number
75096
Provider Name
GROVE MANOR NURSING HOME, INC
Provider Address
145 GROVE ST
WATERBURY, CT 6710
WATERBURY, CT 6710
Provider Phone Number
(203) 753-7205
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROVE MANOR NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.60000
Reported LPN Staffing Hours per Resident per Day
0.59700
Reported RN Staffing Hours per Resident per Day
0.92800
Reported Licensed Staffing Hours per Resident per Day
1.52500
Reported Total Nurse Staffing Hours per Resident per Day
4.12500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01100
Expected CNA Staffing Hours per Resident per Day
2.16534
Expected LPN Staffing Hours per Resident per Day
0.57797
Expected RN Staffing Hours per Resident per Day
0.79656
Expected Total Nurse Staffing Hours per Resident per Day
3.53986
Adjusted CNA Staffing Hours per Resident per Day
2.94625
Adjusted LPN Staffing Hours per Resident per Day
0.85733
Adjusted RN Staffing Hours per Resident per Day
0.87050
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69721
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
0
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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