Villa Maria Nursing & Rehab Community, Inc - Plainfield Nursing Home
General Information
UPDATEFederal Provider Number
75084
Provider Name
VILLA MARIA NURSING & REHAB COMMUNITY, INC
Provider Address
20 BABCOCK AVE
PLAINFIELD, CT 6374
PLAINFIELD, CT 6374
Provider Phone Number
(860) 564-3387
Provider SSA County
70
Provider County Name
Windham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA MARIA NURSING AND REHABILITATION COMMUNITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1974-03-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.63491
Reported LPN Staffing Hours per Resident per Day
0.47925
Reported RN Staffing Hours per Resident per Day
1.07075
Reported Licensed Staffing Hours per Resident per Day
1.55000
Reported Total Nurse Staffing Hours per Resident per Day
4.18491
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09528
Expected CNA Staffing Hours per Resident per Day
2.60870
Expected LPN Staffing Hours per Resident per Day
0.58702
Expected RN Staffing Hours per Resident per Day
0.80625
Expected Total Nurse Staffing Hours per Resident per Day
4.00197
Adjusted CNA Staffing Hours per Resident per Day
2.47835
Adjusted LPN Staffing Hours per Resident per Day
0.67762
Adjusted RN Staffing Hours per Resident per Day
0.99233
Adjusted Total Nurse Staffing Hours per Resident per Day
4.21516
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
17.33300
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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