St Josephs Living Center - Windham Nursing Home
General Information
UPDATEFederal Provider Number
75321
Provider Name
ST JOSEPHS LIVING CENTER
Provider Address
14 CLUB RD
WINDHAM, CT 6280
WINDHAM, CT 6280
Provider Phone Number
8604561107
Provider SSA County
70
Provider County Name
Windham
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SAINT JOSEPHS LIVING CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1988-10-12
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.81429
Reported LPN Staffing Hours per Resident per Day
0.28714
Reported RN Staffing Hours per Resident per Day
1.52429
Reported Licensed Staffing Hours per Resident per Day
1.81143
Reported Total Nurse Staffing Hours per Resident per Day
4.62572
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16619
Expected CNA Staffing Hours per Resident per Day
2.37818
Expected LPN Staffing Hours per Resident per Day
0.60163
Expected RN Staffing Hours per Resident per Day
0.90698
Expected Total Nurse Staffing Hours per Resident per Day
3.88679
Adjusted CNA Staffing Hours per Resident per Day
2.90366
Adjusted LPN Staffing Hours per Resident per Day
0.39614
Adjusted RN Staffing Hours per Resident per Day
1.25576
Adjusted Total Nurse Staffing Hours per Resident per Day
4.79723
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
4
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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