Village Green Of Bristol Rehab & Health Center - Forestville Nursing Home
General Information
UPDATEFederal Provider Number
75198
Provider Name
VILLAGE GREEN OF BRISTOL REHAB & HEALTH CENTER
Provider Address
23 FAIR STREET
FORESTVILLE, CT 6010
FORESTVILLE, CT 6010
Provider Phone Number
(860) 589-2923
Provider SSA County
10
Provider County Name
Hartford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUBACUTE CENTER OF BRISTOL LLC
Date First Approved to Provide Medicare and Medicaid services
1971-10-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
2.32167
Reported LPN Staffing Hours per Resident per Day
1.01667
Reported RN Staffing Hours per Resident per Day
0.71278
Reported Licensed Staffing Hours per Resident per Day
1.72944
Reported Total Nurse Staffing Hours per Resident per Day
4.05112
Reported Physical Therapist Staffing Hours per Resident Per Day
0.19056
Expected CNA Staffing Hours per Resident per Day
2.61940
Expected LPN Staffing Hours per Resident per Day
0.78461
Expected RN Staffing Hours per Resident per Day
1.15067
Expected Total Nurse Staffing Hours per Resident per Day
4.55468
Adjusted CNA Staffing Hours per Resident per Day
2.17480
Adjusted LPN Staffing Hours per Resident per Day
1.07549
Adjusted RN Staffing Hours per Resident per Day
0.46285
Adjusted Total Nurse Staffing Hours per Resident per Day
3.58525
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
6
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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