Noble Horizons - Salisbury Nursing Home
General Information
UPDATEFederal Provider Number
75236
Provider Name
NOBLE HORIZONS
Provider Address
17 COBBLE RD
SALISBURY, CT 6068
SALISBURY, CT 6068
Provider Phone Number
(860) 435-9851
Provider SSA County
20
Provider County Name
Litchfield
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
110
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHURCH HOMES, INC. CONGREGATIONAL
Date First Approved to Provide Medicare and Medicaid services
1975-01-03
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.52586
Reported LPN Staffing Hours per Resident per Day
0.37184
Reported RN Staffing Hours per Resident per Day
1.34310
Reported Licensed Staffing Hours per Resident per Day
1.71494
Reported Total Nurse Staffing Hours per Resident per Day
4.24080
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04253
Expected CNA Staffing Hours per Resident per Day
2.27228
Expected LPN Staffing Hours per Resident per Day
0.56798
Expected RN Staffing Hours per Resident per Day
0.84799
Expected Total Nurse Staffing Hours per Resident per Day
3.68825
Adjusted CNA Staffing Hours per Resident per Day
2.72752
Adjusted LPN Staffing Hours per Resident per Day
0.54337
Adjusted RN Staffing Hours per Resident per Day
1.18347
Adjusted Total Nurse Staffing Hours per Resident per Day
4.63478
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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