| General |
| City |
| Middlebury |
Norwalk |
| State attribute explanation |
| Ct |
Ct |
| Street |
| 778 Middlebury Rd |
76 West Rock Road |
| Zip Code |
| 6,762 |
6,851 |
| Phone |
| 2,037,582,471 |
2,038,475,893 |
|
Overall Star Rating |
| 5 |
3 |
|
Health Inspections Star Rating |
| 5 |
4 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 3 |
1 |
|
RN Only Star Rating |
| 4 |
4 |
|
Number of Certified Beds |
| 58 |
60 |
|
Total Number of Residents |
| 52 |
58 |
|
Percent of Occupied Beds |
| 90 % |
97 % |
| Health Survey Date |
| 6/4/2012 |
3/16/2011 |
| Fire Survey Date |
| 6/4/2012 |
3/16/2011 |
| Sprinkler Status |
| Partially Sprinklered |
Fully Sprinklered |
| Program Participation |
| Medicare And Medicaid |
Medicare And Medicaid |
| Type of Ownership |
| For Profit - Corporation |
Non Profit - Church Related |
| Located Within a Hospital? |
| No |
No |
| Multi Nursing Home Ownership? |
| No |
No |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| No |
Yes |
| Special Focus Facility? |
| No |
No |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 1 |
|
|
| Staff Information |
| Number of Residents |
| 52 |
59 |
| Number of RN Hours Per Resident Per Day |
| 0.73 |
0.65 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.75 |
0.66 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.48 |
1.3 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.06 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.06 |
| Administration Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: 1) Review The Work Of Each Nurse Aide Every Year; And 2) Give Regular In-service Training Based Upon These Reviews.survey Date: 05/02/2011date Of Correction: 06/01/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.4 % |
27.3 % |
| Percent of long-stay residents who self-report moderate to severe pain |
|
13.1:1 |
| Percent of long-stay high-risk residents with pressure ulcers |
| 6.4 % |
5.1 % |
| Percent of long-stay residents who lose too much weight |
| 11.3 % |
8.9 / 9.9 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.9 % |
9.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 75.2 % |
5.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
1.9 % |
| Percent of long-stay residents who were physically restrained |
| 1.9 % |
3.6 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 |
|
| Percent of long-stay residents experiencing one or more falls with major injury |
| 9.4 / 10.4 |
5.4 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 23.4 % |
33.3 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 7.4 % |
3.1 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 9 % |
16.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.6 % |
8.4 % |
| Percent of long-stay residents who lose too much weight |
| 9.8 % |
6.7 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 61.9 % |
58.1 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 3 % |
7.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 2 % |
4.8 % |
| Percent of long-stay residents who have depressive symptoms |
| 75.2 % |
3 % |
| Percent of long-stay residents who were physically restrained |
| 0.6 % |
4.2 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 7.8 % |
28.7 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.6 % |
16.7 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 93.3 % |
70 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 98.5 % |
55.9 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 75.2 % |
21.2:1 |