Mary Wade Home, Inc - New Haven Nursing Home
General Information
UPDATEFederal Provider Number
75325
Provider Name
MARY WADE HOME, INC
Provider Address
118 CLINTON AVE
NEW HAVEN, CT 6513
NEW HAVEN, CT 6513
Provider Phone Number
(203) 562-7222
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
93
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE MARYWADE HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1989-09-11
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.67784
Reported LPN Staffing Hours per Resident per Day
0.97273
Reported RN Staffing Hours per Resident per Day
0.82727
Reported Licensed Staffing Hours per Resident per Day
1.80000
Reported Total Nurse Staffing Hours per Resident per Day
4.47784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06250
Expected CNA Staffing Hours per Resident per Day
2.67261
Expected LPN Staffing Hours per Resident per Day
0.60172
Expected RN Staffing Hours per Resident per Day
0.88387
Expected Total Nurse Staffing Hours per Resident per Day
4.15820
Adjusted CNA Staffing Hours per Resident per Day
2.45850
Adjusted LPN Staffing Hours per Resident per Day
1.34176
Adjusted RN Staffing Hours per Resident per Day
0.69935
Adjusted Total Nurse Staffing Hours per Resident per Day
4.34075
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
24
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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