Watrous Nursing Center - Madison Nursing Home
General Information
UPDATEFederal Provider Number
75328
Provider Name
WATROUS NURSING CENTER
Provider Address
9 NECK RD
MADISON, CT 6443
MADISON, CT 6443
Provider Phone Number
(203) 245-9483
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
45
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERBURY EXTENDED CARE FACILITY, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-01-01
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
3
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
2.43649
Reported LPN Staffing Hours per Resident per Day
0.47838
Reported RN Staffing Hours per Resident per Day
1.00405
Reported Licensed Staffing Hours per Resident per Day
1.48243
Reported Total Nurse Staffing Hours per Resident per Day
3.91892
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04595
Expected CNA Staffing Hours per Resident per Day
2.33726
Expected LPN Staffing Hours per Resident per Day
0.58076
Expected RN Staffing Hours per Resident per Day
0.91267
Expected Total Nurse Staffing Hours per Resident per Day
3.83068
Adjusted CNA Staffing Hours per Resident per Day
2.55787
Adjusted LPN Staffing Hours per Resident per Day
0.68368
Adjusted RN Staffing Hours per Resident per Day
0.82202
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12375
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-06
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
4
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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