St Camillus Rehabilitation & Nursing Center - Stamford Nursing Home
General Information
UPDATEFederal Provider Number
75320
Provider Name
ST CAMILLUS REHABILITATION & NURSING CENTER
Provider Address
494 ELM ST
STAMFORD, CT 6902
STAMFORD, CT 6902
Provider Phone Number
(203) 325-0200
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
124
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1988-10-05
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
2
Health Inspection Rating Footnote
QM Rating
5
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
2.07500
Reported LPN Staffing Hours per Resident per Day
0.74259
Reported RN Staffing Hours per Resident per Day
0.90972
Reported Licensed Staffing Hours per Resident per Day
1.65231
Reported Total Nurse Staffing Hours per Resident per Day
3.72731
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09583
Expected CNA Staffing Hours per Resident per Day
2.46737
Expected LPN Staffing Hours per Resident per Day
0.62587
Expected RN Staffing Hours per Resident per Day
1.01953
Expected Total Nurse Staffing Hours per Resident per Day
4.11277
Adjusted CNA Staffing Hours per Resident per Day
2.06350
Adjusted LPN Staffing Hours per Resident per Day
0.98480
Adjusted RN Staffing Hours per Resident per Day
0.66672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65312
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
100
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-02-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
1
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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