Witherell, Nathaniel - Greenwich Nursing Home
General Information
UPDATEFederal Provider Number
75117
Provider Name
WITHERELL, NATHANIEL
Provider Address
70 PARSONAGE RD
GREENWICH, CT 6830
GREENWICH, CT 6830
Provider Phone Number
(203) 618-4200
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
Government - City
Number of Certified Beds
202
Number of Residents in Certified Beds
181
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TOWN OF GREENWICH
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
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
1.56823
Reported LPN Staffing Hours per Resident per Day
0.43204
Reported RN Staffing Hours per Resident per Day
1.02155
Reported Licensed Staffing Hours per Resident per Day
1.45359
Reported Total Nurse Staffing Hours per Resident per Day
3.02182
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20470
Expected CNA Staffing Hours per Resident per Day
2.47476
Expected LPN Staffing Hours per Resident per Day
0.62759
Expected RN Staffing Hours per Resident per Day
1.00470
Expected Total Nurse Staffing Hours per Resident per Day
4.10704
Adjusted CNA Staffing Hours per Resident per Day
1.55489
Adjusted LPN Staffing Hours per Resident per Day
0.57139
Adjusted RN Staffing Hours per Resident per Day
0.75973
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96580
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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