Norwichtown Rehabilitation & C - Norwich Nursing Home
General Information
UPDATEFederal Provider Number
75079
Provider Name
NORWICHTOWN REHABILITATION & C
Provider Address
93 WEST TOWN STREET
NORWICH, CT 6360
NORWICH, CT 6360
Provider Phone Number
(860) 889-2614
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORWICHTOWN CONVALESCENT HOME, INC.
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.32735
Reported LPN Staffing Hours per Resident per Day
0.67222
Reported RN Staffing Hours per Resident per Day
0.83205
Reported Licensed Staffing Hours per Resident per Day
1.50427
Reported Total Nurse Staffing Hours per Resident per Day
3.83162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11111
Expected CNA Staffing Hours per Resident per Day
2.56295
Expected LPN Staffing Hours per Resident per Day
0.62738
Expected RN Staffing Hours per Resident per Day
0.93427
Expected Total Nurse Staffing Hours per Resident per Day
4.12460
Adjusted CNA Staffing Hours per Resident per Day
2.22815
Adjusted LPN Staffing Hours per Resident per Day
0.88932
Adjusted RN Staffing Hours per Resident per Day
0.66545
Adjusted Total Nurse Staffing Hours per Resident per Day
3.74458
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-09
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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