Masonicare Health Center - Wallingford Nursing Home
General Information
UPDATEFederal Provider Number
75135
Provider Name
MASONICARE HEALTH CENTER
Provider Address
22 MASONIC AVE PO BOX 70
WALLINGFORD, CT 6492
WALLINGFORD, CT 6492
Provider Phone Number
(203) 679-5900
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
375
Number of Residents in Certified Beds
357
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MASONICARE HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.00938
Reported LPN Staffing Hours per Resident per Day
0.47059
Reported RN Staffing Hours per Resident per Day
0.91317
Reported Licensed Staffing Hours per Resident per Day
1.38375
Reported Total Nurse Staffing Hours per Resident per Day
4.39314
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08221
Expected CNA Staffing Hours per Resident per Day
2.43811
Expected LPN Staffing Hours per Resident per Day
0.60414
Expected RN Staffing Hours per Resident per Day
0.93131
Expected Total Nurse Staffing Hours per Resident per Day
3.97355
Adjusted CNA Staffing Hours per Resident per Day
3.02862
Adjusted LPN Staffing Hours per Resident per Day
0.64653
Adjusted RN Staffing Hours per Resident per Day
0.73265
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45654
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-01-23
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
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-21
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
20
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
13
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
10
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
3500
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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