St Mary Home - West Hartford Nursing Home

General Information

UPDATE
Federal Provider Number
75085
Provider Name
ST MARY HOME
Provider Address
2021 ALBANY AVE
WEST HARTFORD, CT 6117
Provider Phone Number
(860) 570-8200
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
256
Number of Residents in Certified Beds
248
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. MARY HOME, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
Y
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
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
2.37359
Reported LPN Staffing Hours per Resident per Day
0.76956
Reported RN Staffing Hours per Resident per Day
0.72581
Reported Licensed Staffing Hours per Resident per Day
1.49536
Reported Total Nurse Staffing Hours per Resident per Day
3.86896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04859
Expected CNA Staffing Hours per Resident per Day
2.42890
Expected LPN Staffing Hours per Resident per Day
0.59622
Expected RN Staffing Hours per Resident per Day
0.88289
Expected Total Nurse Staffing Hours per Resident per Day
3.90801
Adjusted CNA Staffing Hours per Resident per Day
2.39783
Adjusted LPN Staffing Hours per Resident per Day
1.07131
Adjusted RN Staffing Hours per Resident per Day
0.61426
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99063
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-03-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
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
2012-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
61.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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