Springfield Health & Rehab - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
475025
Provider Name
SPRINGFIELD HEALTH & REHAB
Provider Address
105 CHESTER RD
SPRINGFIELD, VT 5156
SPRINGFIELD, VT 5156
Provider Phone Number
(802) 885-5741
Provider SSA County
130
Provider County Name
Windsor
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRINGFIELD HEALTH AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15247
Reported LPN Staffing Hours per Resident per Day
0.77778
Reported RN Staffing Hours per Resident per Day
0.87840
Reported Licensed Staffing Hours per Resident per Day
1.65617
Reported Total Nurse Staffing Hours per Resident per Day
3.80865
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20617
Expected CNA Staffing Hours per Resident per Day
2.54505
Expected LPN Staffing Hours per Resident per Day
0.67285
Expected RN Staffing Hours per Resident per Day
1.06155
Expected Total Nurse Staffing Hours per Resident per Day
4.27945
Adjusted CNA Staffing Hours per Resident per Day
2.07521
Adjusted LPN Staffing Hours per Resident per Day
0.95944
Adjusted RN Staffing Hours per Resident per Day
0.61829
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58745
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-10
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
9
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-30
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
3
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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