Middlesex Health Care Center - Middletown Nursing Home

General Information

UPDATE
Federal Provider Number
75106
Provider Name
MIDDLESEX HEALTH CARE CENTER
Provider Address
100 RANDOLPH RD
MIDDLETOWN, CT 6457
Provider Phone Number
(860) 344-0353
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
134
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ATHENA MIDDLESEX LLC
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.31716
Reported LPN Staffing Hours per Resident per Day
0.81119
Reported RN Staffing Hours per Resident per Day
0.60149
Reported Licensed Staffing Hours per Resident per Day
1.41269
Reported Total Nurse Staffing Hours per Resident per Day
3.72984
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08582
Expected CNA Staffing Hours per Resident per Day
2.49525
Expected LPN Staffing Hours per Resident per Day
0.61848
Expected RN Staffing Hours per Resident per Day
0.90202
Expected Total Nurse Staffing Hours per Resident per Day
4.01575
Adjusted CNA Staffing Hours per Resident per Day
2.27857
Adjusted LPN Staffing Hours per Resident per Day
1.08862
Adjusted RN Staffing Hours per Resident per Day
0.49825
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74391
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
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
32
Cycle 2 Standard Health Survey Date
2014-01-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-02-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
2990
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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