Connecticut Nursing Homes >> Norwich Nursing Homes >> Three Rivers

Three Rivers - Norwich Nursing Home

General Information

UPDATE
Federal Provider Number
75417
Provider Name
THREE RIVERS
Provider Address
60 CROUCH AVENUE
NORWICH, CT 6360
Provider Phone Number
(860) 889-2631
Provider SSA County
50
Provider County Name
New London
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JACC HEALTHCARE CENTER OF NORWICH LLC
Date First Approved to Provide Medicare and Medicaid services
1998-11-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10185
Reported LPN Staffing Hours per Resident per Day
0.84398
Reported RN Staffing Hours per Resident per Day
0.50602
Reported Licensed Staffing Hours per Resident per Day
1.35000
Reported Total Nurse Staffing Hours per Resident per Day
3.45185
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12500
Expected CNA Staffing Hours per Resident per Day
2.16367
Expected LPN Staffing Hours per Resident per Day
0.61175
Expected RN Staffing Hours per Resident per Day
0.96773
Expected Total Nurse Staffing Hours per Resident per Day
3.74316
Adjusted CNA Staffing Hours per Resident per Day
2.38360
Adjusted LPN Staffing Hours per Resident per Day
1.14507
Adjusted RN Staffing Hours per Resident per Day
0.39070
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71720
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-20
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
24
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
324
Cycle 3 Standard Health Survey Date
2012-05-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
324
Total Weighted Health Survey Score
86.66700
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
3413
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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