Madison House Rehabilitation & Nursing Center - Madison Nursing Home
General Information
UPDATEFederal Provider Number
75405
Provider Name
MADISON HOUSE REHABILITATION & NURSING CENTER
Provider Address
34 WILDWOOD AVENUE
MADISON, CT 6443
MADISON, CT 6443
Provider Phone Number
(203) 245-8008
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1994-06-16
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
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
1.86337
Reported LPN Staffing Hours per Resident per Day
0.80872
Reported RN Staffing Hours per Resident per Day
0.87384
Reported Licensed Staffing Hours per Resident per Day
1.68256
Reported Total Nurse Staffing Hours per Resident per Day
3.54593
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22791
Expected CNA Staffing Hours per Resident per Day
2.46587
Expected LPN Staffing Hours per Resident per Day
0.64421
Expected RN Staffing Hours per Resident per Day
1.15108
Expected Total Nurse Staffing Hours per Resident per Day
4.26116
Adjusted CNA Staffing Hours per Resident per Day
1.85417
Adjusted LPN Staffing Hours per Resident per Day
1.04195
Adjusted RN Staffing Hours per Resident per Day
0.56724
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35432
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
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
2014-01-24
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-04-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
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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