Village Green Of Wallingford Rehab & Health Center - Wallingford Nursing Home
General Information
UPDATEFederal Provider Number
75234
Provider Name
VILLAGE GREEN OF WALLINGFORD REHAB & HEALTH CENTER
Provider Address
55 KONDRACKI LANE
WALLINGFORD, CT 6492
WALLINGFORD, CT 6492
Provider Phone Number
(203) 265-6771
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Limited Liability
Number of Certified Beds
180
Number of Residents in Certified Beds
131
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
1974-08-02
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14733
Reported LPN Staffing Hours per Resident per Day
1.02176
Reported RN Staffing Hours per Resident per Day
0.49733
Reported Licensed Staffing Hours per Resident per Day
1.51908
Reported Total Nurse Staffing Hours per Resident per Day
3.66642
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08740
Expected CNA Staffing Hours per Resident per Day
2.45260
Expected LPN Staffing Hours per Resident per Day
0.66893
Expected RN Staffing Hours per Resident per Day
1.02486
Expected Total Nurse Staffing Hours per Resident per Day
4.14639
Adjusted CNA Staffing Hours per Resident per Day
2.14829
Adjusted LPN Staffing Hours per Resident per Day
1.26780
Adjusted RN Staffing Hours per Resident per Day
0.36259
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56430
Cycle 1 Total Number of Health Deficiencies
33
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
264
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
264
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-11-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
175.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
15243
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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