| General |
| City |
| Chester |
Wethersfield |
| State attribute explanation |
| Ct |
Ct |
| Street |
| 132 |
341 Jordan Lane |
| Zip Code |
| 6,412 |
6,109 |
| Phone |
| 8,605,265,363 |
8,605,630,101 |
|
Overall Star Rating |
| 2 |
3 |
|
Health Inspections Star Rating |
| 2 |
3 |
|
Nurse Staffing Star Rating |
|
3 |
|
Quality Measures Star Rating |
| 4 |
3 |
|
RN Only Star Rating |
|
3 |
|
Number of Certified Beds |
| 60 |
210 |
|
Total Number of Residents |
| 53 |
184 |
|
Percent of Occupied Beds |
| 88 % |
88 % |
| Health Survey Date |
| 1/23/2012 |
8/29/2011 |
| Fire Survey Date |
| 1/23/2012 |
8/24/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Corporation |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| None |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 1 |
75.2 |
| Total Enforcement Actions Count |
| 1 |
75.2 |
| # of deficiencies |
| 13 |
10 |
|
| Staff Information |
| Number of Residents |
| 53 |
184 |
| Number of RN Hours Per Resident Per Day |
|
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
|
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
|
1.53 |
| Number of CNA Hours Per Resident Per Day |
|
0.11 |
| Number Therapy Hours Per Resident Per Day |
|
0.11 |
| Environmental Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 01/23/2012date Of Correction: 03/05/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/29/2011date Of Correction: 10/07/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 07/22/2010date Of Correction: 09/02/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.survey Date: 03/03/2010date Of Correction: 04/14/2010 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.survey Date: 04/17/2012date Of Correction: 05/28/2012 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Each Resident Gets A Nutritional And Well Balanced Diet, Unless It Is Not Possible To Do So.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 01/05/2011date Of Correction: 01/05/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 01/05/2011date Of Correction: 01/05/2011 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/05/2009date Of Correction: 11/16/2009 |
| Deficiency #4 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 06/08/2009date Of Correction: 07/20/2009 |
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Allow The Resident The Right To Participate In The Planning Or Revision Of The Resident's Care Plan.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Set Up An Ongoing Quality Assessment And Assurance Group To Review Quality Deficiencies Quarterly, And Develop Corrective Plans Of Action.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Manylevel Of Harm: 1deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 01/05/2011date Of Correction: 02/16/2011 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 06/08/2009date Of Correction: 07/20/2009 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Make Sure That Each Resident's Drug Regimen Is Free From Unnecessary Drugs; 2) Each Resident's Entire Drug/medication Is Managed And Monitored To Achieve Highest Well Being.survey Date: 04/17/2012date Of Correction: 05/28/2012 |
| Nutrition and Dietary Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Provide 3 Meals At Regular Times; 2) Serve Breakfast Within 14 Hours After Dinner; Or 3) Offer A Snack At Bedtime Each Day.survey Date: 08/02/2011date Of Correction: 09/13/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 42.6 % |
26.7 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.9 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 75.2 % |
13.8 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 16.1 % |
4.2 % |
| Percent of long-stay residents who lose too much weight |
| 6.7 % |
4.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
|
45.5 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.9 % |
| Percent of long-stay residents with a urinary tract infection |
| 6.3 % |
1.6 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
2.4 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 13.6-28 |
12.9 (55.2) |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 66.7 % |
76.1 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 70.6 % |
91.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 5 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 12.5 % |
1.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 42 % |
27.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
1.4 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.7 % |
16.3:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 8.9 / 9.9 |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 7.1 % |
5.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 41.7 % |
51.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
4.5 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.1 % |
4.9 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.1 % |
| Percent of long-stay residents who were physically restrained |
| 2.1 % |
2.4 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 11.3 % |
1.50 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 21.9 % |
19.2 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 65.3 % |
85.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 63.2 % |
90 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 16.9-24 |
0.5 - 2.0 |