Maefair Health Care Center - Trumbull Nursing Home
General Information
UPDATEFederal Provider Number
75404
Provider Name
MAEFAIR HEALTH CARE CENTER
Provider Address
21 MAEFAIR COURT
TRUMBULL, CT 6611
TRUMBULL, CT 6611
Provider Phone Number
(203) 459-5152
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAEFAIR HEALTH CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1994-05-04
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43543
Reported LPN Staffing Hours per Resident per Day
1.10748
Reported RN Staffing Hours per Resident per Day
0.51417
Reported Licensed Staffing Hours per Resident per Day
1.62165
Reported Total Nurse Staffing Hours per Resident per Day
4.05708
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19213
Expected CNA Staffing Hours per Resident per Day
2.65746
Expected LPN Staffing Hours per Resident per Day
0.64974
Expected RN Staffing Hours per Resident per Day
0.98302
Expected Total Nurse Staffing Hours per Resident per Day
4.29022
Adjusted CNA Staffing Hours per Resident per Day
2.24870
Adjusted LPN Staffing Hours per Resident per Day
1.41474
Adjusted RN Staffing Hours per Resident per Day
0.39082
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81186
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-23
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
1625
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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