Springs At Watermark 3030 Park, The - Bridgeport Nursing Home
General Information
UPDATEFederal Provider Number
75440
Provider Name
SPRINGS AT WATERMARK 3030 PARK, THE
Provider Address
3030 PARK AVENUE
BRIDGEPORT, CT 6604
BRIDGEPORT, CT 6604
Provider Phone Number
(203) 374-5611
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
22
Number of Residents in Certified Beds
20
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WATERMARK 3030 PARK, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-05-08
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.40000
Reported LPN Staffing Hours per Resident per Day
0.57250
Reported RN Staffing Hours per Resident per Day
1.43000
Reported Licensed Staffing Hours per Resident per Day
2.00250
Reported Total Nurse Staffing Hours per Resident per Day
4.40250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.64250
Expected CNA Staffing Hours per Resident per Day
2.47655
Expected LPN Staffing Hours per Resident per Day
0.74525
Expected RN Staffing Hours per Resident per Day
1.58336
Expected Total Nurse Staffing Hours per Resident per Day
4.80516
Adjusted CNA Staffing Hours per Resident per Day
2.37786
Adjusted LPN Staffing Hours per Resident per Day
0.63761
Adjusted RN Staffing Hours per Resident per Day
0.67483
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69312
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-11-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
27.33300
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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