Regency House Of Wallingford I - Wallingford Nursing Home
General Information
UPDATEFederal Provider Number
75261
Provider Name
REGENCY HOUSE OF WALLINGFORD I
Provider Address
181 E MAIN ST
WALLINGFORD, CT 6492
WALLINGFORD, CT 6492
Provider Phone Number
(203) 265-1661
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
REGENCY HOUSE OF WALLINGFORD, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-12-01
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.31694
Reported LPN Staffing Hours per Resident per Day
0.78669
Reported RN Staffing Hours per Resident per Day
0.58347
Reported Licensed Staffing Hours per Resident per Day
1.37016
Reported Total Nurse Staffing Hours per Resident per Day
3.68710
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06169
Expected CNA Staffing Hours per Resident per Day
2.53444
Expected LPN Staffing Hours per Resident per Day
0.65205
Expected RN Staffing Hours per Resident per Day
0.98408
Expected Total Nurse Staffing Hours per Resident per Day
4.17057
Adjusted CNA Staffing Hours per Resident per Day
2.24313
Adjusted LPN Staffing Hours per Resident per Day
1.00138
Adjusted RN Staffing Hours per Resident per Day
0.44302
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56362
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-26
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
30.00000
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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