Whitney Manor Conv Ctr - Hamden Nursing Home
General Information
UPDATEFederal Provider Number
75246
Provider Name
WHITNEY MANOR CONV CTR
Provider Address
2798 WHITNEY AVE
HAMDEN, CT 6518
HAMDEN, CT 6518
Provider Phone Number
(203) 288-6230
Provider SSA County
40
Provider County Name
New Haven
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
119
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITNEY MANOR CONV CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1975-12-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24370
Reported LPN Staffing Hours per Resident per Day
0.61975
Reported RN Staffing Hours per Resident per Day
0.78487
Reported Licensed Staffing Hours per Resident per Day
1.40462
Reported Total Nurse Staffing Hours per Resident per Day
3.64832
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10336
Expected CNA Staffing Hours per Resident per Day
2.35360
Expected LPN Staffing Hours per Resident per Day
0.57888
Expected RN Staffing Hours per Resident per Day
0.92774
Expected Total Nurse Staffing Hours per Resident per Day
3.86021
Adjusted CNA Staffing Hours per Resident per Day
2.33913
Adjusted LPN Staffing Hours per Resident per Day
0.88860
Adjusted RN Staffing Hours per Resident per Day
0.63214
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80964
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
132
Cycle 3 Standard Health Survey Date
2012-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
132
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
6720
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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