Meridian Manor - Waterbury Nursing Home
General Information
UPDATEFederal Provider Number
75102
Provider Name
MERIDIAN MANOR
Provider Address
1132 MERIDEN RD
WATERBURY, CT 6705
WATERBURY, CT 6705
Provider Phone Number
(203) 757-1228
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDIAN MANOR CORP
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.47095
Reported LPN Staffing Hours per Resident per Day
0.41149
Reported RN Staffing Hours per Resident per Day
0.86014
Reported Licensed Staffing Hours per Resident per Day
1.27162
Reported Total Nurse Staffing Hours per Resident per Day
3.74258
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08243
Expected CNA Staffing Hours per Resident per Day
2.28261
Expected LPN Staffing Hours per Resident per Day
0.63001
Expected RN Staffing Hours per Resident per Day
0.90483
Expected Total Nurse Staffing Hours per Resident per Day
3.81745
Adjusted CNA Staffing Hours per Resident per Day
2.65615
Adjusted LPN Staffing Hours per Resident per Day
0.54212
Adjusted RN Staffing Hours per Resident per Day
0.71030
Adjusted Total Nurse Staffing Hours per Resident per Day
3.95184
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
24
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
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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