| General |
| City |
| Manchester |
Manchester |
| State attribute explanation |
| Ct |
Ct |
| Street |
| 565 Vernon St |
385 W Center St |
| Zip Code |
| 6,040 |
6,040 |
| Phone |
| 8,606,435,151 |
8,606,477,828 |
|
Overall Star Rating |
| 1 |
4 |
|
Health Inspections Star Rating |
| 1 |
3 |
|
Nurse Staffing Star Rating |
| 3 |
4 |
|
Quality Measures Star Rating |
| 1 |
4 |
|
RN Only Star Rating |
| 2 |
4 |
|
Number of Certified Beds |
| 155 |
126 |
|
Total Number of Residents |
| 123 |
122 |
|
Percent of Occupied Beds |
| 79 % |
97 % |
| Health Survey Date |
| 2/27/2012 |
10/20/2011 |
| Fire Survey Date |
| 2/22/2012 |
10/21/2011 |
| Sprinkler Status |
| Fully Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
For Profit - Partnership |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| Yes |
No |
| Resident and Family Councils |
| Resident |
Both |
| Continuing Care Retirement Community? |
| No |
Yes |
| 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 |
| 16 |
9 |
|
| Staff Information |
| Number of Residents |
| 123 |
122 |
| Number of RN Hours Per Resident Per Day |
| 0.54 |
0.97 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 1.09 |
0.78 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.63 |
1.75 |
| Number of CNA Hours Per Resident Per Day |
| 0.3 |
0.14 |
| Number Therapy Hours Per Resident Per Day |
| 0.3 |
0.14 |
| 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: 12/20/2011date Of Correction: 02/03/2012 |
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: 10/20/2011date Of Correction: 11/30/2011 |
| 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: 01/18/2011date Of Correction: 03/01/2011 |
|
| Mistreatment Deficiencies |
| Deficiency #1 |
|
Scope: Fewlevel Of Harm: 2deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.survey Date: 10/30/2009date Of Correction: 12/04/2009 |
| Deficiency #2 |
|
Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 10/30/2009date Of Correction: 12/04/2009 |
| Resident Rights Deficiencies |
| Deficiency #1 |
| 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: 02/27/2012date Of Correction: 04/09/2012 |
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: 05/06/2011date Of Correction: 06/17/2011 |
| 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: 12/20/2011date Of Correction: 02/03/2012 |
Scope: Somelevel Of Harm: 2deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.survey Date: 10/30/2009date Of Correction: 12/04/2009 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Determine If It Is Safe For The Resident To Self-administer Drugs.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
|
| Deficiency #4 |
| 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: 03/12/2010date Of Correction: 04/23/2010 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 02/27/2012date Of Correction: 04/09/2012 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 10/30/2009date Of Correction: 12/04/2009 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 12/20/2011date Of Correction: 02/03/2012 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/20/2011date Of Correction: 02/03/2012 |
|
| Deficiency #4 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/18/2010date Of Correction: 06/29/2010 |
|
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
|
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
|
| Resident Assessment Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.survey Date: 02/27/2012date Of Correction: 04/09/2012 |
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: 05/06/2011date Of Correction: 06/17/2011 |
| 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: 12/20/2011date Of Correction: 02/03/2012 |
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: 02/09/2010date Of Correction: 03/15/2010 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Doctors See A Resident's Plan Of Care At Every Visit And Make Notes About Progress And Orders In Writing.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
|
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 05/18/2010date Of Correction: 06/29/2010 |
Scope: Fewlevel Of Harm: 2deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 09/02/2010date Of Correction: 10/07/2010 |
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.3 % |
23.2 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.20 % |
0.5 - 2.0 |
| Percent of long-stay residents who self-report moderate to severe pain |
| 13.1:1 |
75.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 4.2 % |
3.8 % |
| Percent of long-stay residents who lose too much weight |
| 7.5 % |
10.9 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 40 % |
71.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 6 % |
3 % |
| Percent of long-stay residents with a urinary tract infection |
| 11.8:1 |
8.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 3.2 % |
2.4 % |
| Percent of long-stay residents who were physically restrained |
| 4.3 % |
75.2 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 28.5 % |
25.8 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 82.5 % |
96.3 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 85.9 % |
94.5 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
4.2 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 19.9 % |
21.2:1 |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 2.9 % |
1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 12.5 % |
1.3 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.1 % |
2.5 % |
| Percent of long-stay residents who lose too much weight |
| 8.8 % |
9.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 48.2 % |
67.4 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 4.9 % |
3.2 % |
| Percent of long-stay residents with a urinary tract infection |
| 13.9 / 15.3 |
8 % |
| Percent of long-stay residents who have depressive symptoms |
| 6.6 % |
4.1 % |
| Percent of long-stay residents who were physically restrained |
| 6.6 % |
75.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 2.1 % |
3.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 27.7 % |
27.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 69.4 % |
96.2 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 84.9 % |
94.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 3.2 % |
16.1 % |