Village Green Of Waterbury Rehab & Health Center - Waterbury Nursing Home
General Information
UPDATEFederal Provider Number
75210
Provider Name
VILLAGE GREEN OF WATERBURY REHAB & HEALTH CENTER
Provider Address
128 CEDAR AVENUE
WATERBURY, CT 6705
WATERBURY, CT 6705
Provider Phone Number
(203) 757-9271
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
116
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
1971-11-22
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
3
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
2.73060
Reported LPN Staffing Hours per Resident per Day
1.18060
Reported RN Staffing Hours per Resident per Day
0.75991
Reported Licensed Staffing Hours per Resident per Day
1.94052
Reported Total Nurse Staffing Hours per Resident per Day
4.67111
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07155
Expected CNA Staffing Hours per Resident per Day
2.69974
Expected LPN Staffing Hours per Resident per Day
0.91672
Expected RN Staffing Hours per Resident per Day
1.32090
Expected Total Nurse Staffing Hours per Resident per Day
4.93736
Adjusted CNA Staffing Hours per Resident per Day
2.48175
Adjusted LPN Staffing Hours per Resident per Day
1.06892
Adjusted RN Staffing Hours per Resident per Day
0.42986
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81353
Cycle 1 Total Number of Health Deficiencies
23
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-11-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2012-08-27
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
38
Cycle 3 Total Health Score
114
Total Weighted Health Survey Score
122.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
8
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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