Portland Care & Rehab Center, - Portland Nursing Home
General Information
UPDATEFederal Provider Number
75214
Provider Name
PORTLAND CARE & REHAB CENTER,
Provider Address
333 MAIN ST
PORTLAND, CT 6480
PORTLAND, CT 6480
Provider Phone Number
(860) 342-0370
Provider SSA County
30
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PORTLAND CARE AND REHABILITATION CENTRE
Date First Approved to Provide Medicare and Medicaid services
1971-12-16
Continuing Care Retirement Community
N
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
3.40500
Reported LPN Staffing Hours per Resident per Day
0.81750
Reported RN Staffing Hours per Resident per Day
3.48583
Reported Licensed Staffing Hours per Resident per Day
4.30333
Reported Total Nurse Staffing Hours per Resident per Day
7.70833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21667
Expected CNA Staffing Hours per Resident per Day
2.52833
Expected LPN Staffing Hours per Resident per Day
0.60548
Expected RN Staffing Hours per Resident per Day
0.96172
Expected Total Nurse Staffing Hours per Resident per Day
4.09552
Adjusted CNA Staffing Hours per Resident per Day
3.30450
Adjusted LPN Staffing Hours per Resident per Day
1.12065
Adjusted RN Staffing Hours per Resident per Day
2.70829
Adjusted Total Nurse Staffing Hours per Resident per Day
7.58671
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-09-26
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
2300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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