Willows Rehabilitation & Nursing Center - Woodbridge Nursing Home
General Information
UPDATEFederal Provider Number
75331
Provider Name
WILLOWS REHABILITATION & NURSING CENTER
Provider Address
225 AMITY RD
WOODBRIDGE, CT 6525
WOODBRIDGE, CT 6525
Provider Phone Number
2033870076
Provider SSA County
40
Provider County Name
New Haven
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HARBORSIDE CONNECTICUT LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
1990-02-26
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.25183
Reported LPN Staffing Hours per Resident per Day
0.82561
Reported RN Staffing Hours per Resident per Day
1.04512
Reported Licensed Staffing Hours per Resident per Day
1.87073
Reported Total Nurse Staffing Hours per Resident per Day
4.12256
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26585
Expected CNA Staffing Hours per Resident per Day
2.39877
Expected LPN Staffing Hours per Resident per Day
0.66275
Expected RN Staffing Hours per Resident per Day
1.19726
Expected Total Nurse Staffing Hours per Resident per Day
4.25878
Adjusted CNA Staffing Hours per Resident per Day
2.30340
Adjusted LPN Staffing Hours per Resident per Day
1.03395
Adjusted RN Staffing Hours per Resident per Day
0.65225
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90197
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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