Matulaitis Nursing Home - Putnam Nursing Home
General Information
UPDATEFederal Provider Number
75411
Provider Name
MATULAITIS NURSING HOME
Provider Address
10 THURBER RD
PUTNAM, CT 6260
PUTNAM, CT 6260
Provider Phone Number
(860) 928-7976
Provider SSA County
70
Provider County Name
Windham
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MATULAITIS NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.77190
Reported LPN Staffing Hours per Resident per Day
0.83667
Reported RN Staffing Hours per Resident per Day
0.59714
Reported Licensed Staffing Hours per Resident per Day
1.43381
Reported Total Nurse Staffing Hours per Resident per Day
4.20571
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09000
Expected CNA Staffing Hours per Resident per Day
2.60822
Expected LPN Staffing Hours per Resident per Day
0.58591
Expected RN Staffing Hours per Resident per Day
0.92368
Expected Total Nurse Staffing Hours per Resident per Day
4.11781
Adjusted CNA Staffing Hours per Resident per Day
2.60768
Adjusted LPN Staffing Hours per Resident per Day
1.18523
Adjusted RN Staffing Hours per Resident per Day
0.48305
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11695
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
36
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
39.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
1
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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