Connecticut Nursing Homes >> Southbury Nursing Homes >> Pomperaug Woods Health Center

Pomperaug Woods Health Center - Southbury Nursing Home

General Information

UPDATE
Federal Provider Number
75318
Provider Name
POMPERAUG WOODS HEALTH CENTER
Provider Address
80 HERITAGE RD
SOUTHBURY, CT 6488
Provider Phone Number
2032626555
Provider SSA County
40
Provider County Name
New Haven
Ownership Type
Non profit - Corporation
Number of Certified Beds
18
Number of Residents in Certified Beds
31
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
POMPERAUG WOODS,INC.
Date First Approved to Provide Medicare and Medicaid services
1988-05-18
Continuing Care Retirement Community
Y
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
3.27419
Reported LPN Staffing Hours per Resident per Day
0.14516
Reported RN Staffing Hours per Resident per Day
2.18065
Reported Licensed Staffing Hours per Resident per Day
2.32581
Reported Total Nurse Staffing Hours per Resident per Day
5.60000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24839
Expected CNA Staffing Hours per Resident per Day
2.46529
Expected LPN Staffing Hours per Resident per Day
0.57981
Expected RN Staffing Hours per Resident per Day
0.87009
Expected Total Nurse Staffing Hours per Resident per Day
3.91519
Adjusted CNA Staffing Hours per Resident per Day
3.25880
Adjusted LPN Staffing Hours per Resident per Day
0.20780
Adjusted RN Staffing Hours per Resident per Day
1.87265
Adjusted Total Nurse Staffing Hours per Resident per Day
5.76550
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-19
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
32
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
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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