Rose Haven, Ltd - Litchfield Nursing Home
General Information
UPDATEFederal Provider Number
75346
Provider Name
ROSE HAVEN, LTD
Provider Address
33 NORTH ST
LITCHFIELD, CT 6759
LITCHFIELD, CT 6759
Provider Phone Number
8605679475
Provider SSA County
20
Provider County Name
Litchfield
Ownership Type
For profit - Corporation
Number of Certified Beds
25
Number of Residents in Certified Beds
24
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
ROSE HAVEN, LTD.
Date First Approved to Provide Medicare and Medicaid services
1991-06-10
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73542
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.79583
Reported Licensed Staffing Hours per Resident per Day
1.79583
Reported Total Nurse Staffing Hours per Resident per Day
4.53125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25208
Expected CNA Staffing Hours per Resident per Day
2.45156
Expected LPN Staffing Hours per Resident per Day
0.62398
Expected RN Staffing Hours per Resident per Day
1.08990
Expected Total Nurse Staffing Hours per Resident per Day
4.16544
Adjusted CNA Staffing Hours per Resident per Day
2.73781
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.23116
Adjusted Total Nurse Staffing Hours per Resident per Day
4.38489
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-05-08
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
1
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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