Smith House Snf - Stamford Nursing Home
General Information
UPDATEFederal Provider Number
75153
Provider Name
SMITH HOUSE SNF
Provider Address
88 ROCKRIMMON RD
STAMFORD, CT 6903
STAMFORD, CT 6903
Provider Phone Number
(203) 322-3428
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
128
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF STAMFORD
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
2
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
3.10948
Reported LPN Staffing Hours per Resident per Day
0.79784
Reported RN Staffing Hours per Resident per Day
0.87629
Reported Licensed Staffing Hours per Resident per Day
1.67414
Reported Total Nurse Staffing Hours per Resident per Day
4.78361
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05216
Expected CNA Staffing Hours per Resident per Day
2.33212
Expected LPN Staffing Hours per Resident per Day
0.57824
Expected RN Staffing Hours per Resident per Day
0.81873
Expected Total Nurse Staffing Hours per Resident per Day
3.72910
Adjusted CNA Staffing Hours per Resident per Day
3.27158
Adjusted LPN Staffing Hours per Resident per Day
1.14521
Adjusted RN Staffing Hours per Resident per Day
0.79973
Adjusted Total Nurse Staffing Hours per Resident per Day
5.17076
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-05-23
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
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-05-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
7
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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