Connecticut Nursing Homes >> Cromwell Nursing Homes >> Pilgrim Manor

Pilgrim Manor - Cromwell Nursing Home

General Information

UPDATE
Federal Provider Number
75306
Provider Name
PILGRIM MANOR
Provider Address
52 MISSIONARY RD PO BOX 180
CROMWELL, CT 6416
Provider Phone Number
(860) 635-5511
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1987-02-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.63830
Reported LPN Staffing Hours per Resident per Day
0.82234
Reported RN Staffing Hours per Resident per Day
0.85638
Reported Licensed Staffing Hours per Resident per Day
1.67872
Reported Total Nurse Staffing Hours per Resident per Day
4.31702
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20106
Expected CNA Staffing Hours per Resident per Day
2.88265
Expected LPN Staffing Hours per Resident per Day
0.66214
Expected RN Staffing Hours per Resident per Day
0.97137
Expected Total Nurse Staffing Hours per Resident per Day
4.51616
Adjusted CNA Staffing Hours per Resident per Day
2.24571
Adjusted LPN Staffing Hours per Resident per Day
1.03082
Adjusted RN Staffing Hours per Resident per Day
0.65875
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85316
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
20.00000
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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