Holy Spirit Health Care Inc - Putnam Nursing Home
General Information
UPDATEFederal Provider Number
75409
Provider Name
HOLY SPIRIT HEALTH CARE INC
Provider Address
72 CHURCH STREET
PUTNAM, CT 6260
PUTNAM, CT 6260
Provider Phone Number
(860) 928-0891
Provider SSA County
70
Provider County Name
Windham
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
22
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HOLY SPIRIT HEALTHCARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1996-01-30
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.65000
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.75476
Reported Licensed Staffing Hours per Resident per Day
1.75476
Reported Total Nurse Staffing Hours per Resident per Day
4.40476
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00714
Expected CNA Staffing Hours per Resident per Day
2.06280
Expected LPN Staffing Hours per Resident per Day
0.54250
Expected RN Staffing Hours per Resident per Day
0.70083
Expected Total Nurse Staffing Hours per Resident per Day
3.30614
Adjusted CNA Staffing Hours per Resident per Day
3.15217
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.87085
Adjusted Total Nurse Staffing Hours per Resident per Day
5.37036
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
4.66700
Number of Facility Reported Incidents
0
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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