Seabury Retirement Community - Bloomfield Nursing Home
General Information
UPDATEFederal Provider Number
75383
Provider Name
SEABURY RETIREMENT COMMUNITY
Provider Address
200 SEABURY DRIVE
BLOOMFIELD, CT 6002
BLOOMFIELD, CT 6002
Provider Phone Number
(860) 286-0243
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHURCH HOME OF HARTFORD
Date First Approved to Provide Medicare and Medicaid services
1993-04-21
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
5
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
2.95833
Reported LPN Staffing Hours per Resident per Day
0.30278
Reported RN Staffing Hours per Resident per Day
1.03889
Reported Licensed Staffing Hours per Resident per Day
1.34167
Reported Total Nurse Staffing Hours per Resident per Day
4.30000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.31296
Expected CNA Staffing Hours per Resident per Day
2.68100
Expected LPN Staffing Hours per Resident per Day
0.58796
Expected RN Staffing Hours per Resident per Day
0.93131
Expected Total Nurse Staffing Hours per Resident per Day
4.20027
Adjusted CNA Staffing Hours per Resident per Day
2.70752
Adjusted LPN Staffing Hours per Resident per Day
0.42742
Adjusted RN Staffing Hours per Resident per Day
0.83352
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12661
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
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
2013-09-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2012-11-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
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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