Lord Chamberlain Manor - Stratford Nursing Home
General Information
UPDATEFederal Provider Number
75412
Provider Name
LORD CHAMBERLAIN MANOR
Provider Address
7003 MAIN ST
STRATFORD, CT 6497
STRATFORD, CT 6497
Provider Phone Number
(203) 375-5894
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
43
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CHAMBERLAIN HEALTHCARE INC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
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
3.64651
Reported LPN Staffing Hours per Resident per Day
2.02907
Reported RN Staffing Hours per Resident per Day
1.44767
Reported Licensed Staffing Hours per Resident per Day
3.47674
Reported Total Nurse Staffing Hours per Resident per Day
7.12325
Reported Physical Therapist Staffing Hours per Resident Per Day
0.47093
Expected CNA Staffing Hours per Resident per Day
2.37890
Expected LPN Staffing Hours per Resident per Day
0.70253
Expected RN Staffing Hours per Resident per Day
1.55554
Expected Total Nurse Staffing Hours per Resident per Day
4.63697
Adjusted CNA Staffing Hours per Resident per Day
3.76116
Adjusted LPN Staffing Hours per Resident per Day
2.39722
Adjusted RN Staffing Hours per Resident per Day
0.69539
Adjusted Total Nurse Staffing Hours per Resident per Day
6.19221
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-10-08
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.66700
Number of Facility Reported Incidents
1
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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