Orchard Grove Specialty Care Center, Llc - Uncasville Nursing Home
General Information
UPDATEFederal Provider Number
75438
Provider Name
ORCHARD GROVE SPECIALTY CARE CENTER, LLC
Provider Address
5 RICHARD BROWN DRIVE
UNCASVILLE, CT 6382
UNCASVILLE, CT 6382
Provider Phone Number
(860) 848-8466
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
130
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ORCHARD GROVE SPECIALTY CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2004-12-30
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35398
Reported LPN Staffing Hours per Resident per Day
0.67212
Reported RN Staffing Hours per Resident per Day
0.75310
Reported Licensed Staffing Hours per Resident per Day
1.42522
Reported Total Nurse Staffing Hours per Resident per Day
3.77920
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09159
Expected CNA Staffing Hours per Resident per Day
2.33919
Expected LPN Staffing Hours per Resident per Day
0.61165
Expected RN Staffing Hours per Resident per Day
0.94724
Expected Total Nurse Staffing Hours per Resident per Day
3.89808
Adjusted CNA Staffing Hours per Resident per Day
2.46921
Adjusted LPN Staffing Hours per Resident per Day
0.91206
Adjusted RN Staffing Hours per Resident per Day
0.59406
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90797
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-12-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
108
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
108
Total Weighted Health Survey Score
55.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
16905
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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