Mansfield Center For Nursing And Rehabilitation - Mansfield Nursing Home
General Information
UPDATEFederal Provider Number
75402
Provider Name
MANSFIELD CENTER FOR NURSING AND REHABILITATION
Provider Address
100 WARREN CIRCLE
MANSFIELD, CT 6268
MANSFIELD, CT 6268
Provider Phone Number
(860) 487-2300
Provider SSA County
60
Provider County Name
Tolland
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW SAMARITAN CORP
Date First Approved to Provide Medicare and Medicaid services
1994-02-16
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
4
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
2.66477
Reported LPN Staffing Hours per Resident per Day
0.68580
Reported RN Staffing Hours per Resident per Day
0.90625
Reported Licensed Staffing Hours per Resident per Day
1.59205
Reported Total Nurse Staffing Hours per Resident per Day
4.25682
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20625
Expected CNA Staffing Hours per Resident per Day
2.39928
Expected LPN Staffing Hours per Resident per Day
0.64471
Expected RN Staffing Hours per Resident per Day
0.95477
Expected Total Nurse Staffing Hours per Resident per Day
3.99876
Adjusted CNA Staffing Hours per Resident per Day
2.72521
Adjusted LPN Staffing Hours per Resident per Day
0.88290
Adjusted RN Staffing Hours per Resident per Day
0.70923
Adjusted Total Nurse Staffing Hours per Resident per Day
4.29103
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-08-01
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.00000
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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