| General |
| City |
| Middletown |
Norwalk |
| State attribute explanation |
| Ct |
Ct |
| Street |
| 100 Randolph Rd |
23 Prospect Avenue |
| Zip Code |
| 6,457 |
6,850 |
| Phone |
| 8,603,440,353 |
2,038,530,010 |
|
Overall Star Rating |
| 2 |
2 |
|
Health Inspections Star Rating |
| 1 |
1 |
|
Nurse Staffing Star Rating |
| 4 |
4 |
|
Quality Measures Star Rating |
| 4 |
5 |
|
RN Only Star Rating |
| 3 |
4 |
|
Number of Certified Beds |
| 150 |
150 |
|
Total Number of Residents |
| 138 |
127 |
|
Percent of Occupied Beds |
| 92 % |
85 % |
| Health Survey Date |
| 4/5/2012 |
12/8/2011 |
| Fire Survey Date |
| 4/5/2012 |
12/7/2011 |
| 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 |
Yes |
| Resident and Family Councils |
| Both |
Resident |
| Continuing Care Retirement Community? |
| No |
No |
| Quality Indicator Survey? |
| Yes |
Yes |
| Special Focus Facility? |
| No |
Yes |
| Civil Money Penalty Count |
| 75.2 |
75.2 |
| Total Enforcement Actions Count |
| 75.2 |
75.2 |
| # of deficiencies |
| 21 |
22 |
|
| Staff Information |
| Number of Residents |
| 138 |
127 |
| Number of RN Hours Per Resident Per Day |
| 0.58 |
0.62 |
| Number of LPN/LVN Hours Per Resident Per Day |
| 0.76 |
0.88 |
| Total Number of Licensed Staff Hours Per Resident Per Day |
| 1.35 |
1.50 |
| Number of CNA Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Number Therapy Hours Per Resident Per Day |
| 0.09 |
0.08 |
| Environmental Deficiencies |
| Deficiency #1 |
| 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: 10/25/2011date Of Correction: 12/06/2011 |
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: 12/08/2011date Of Correction: 01/19/2012 |
| 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: 03/03/2011date Of Correction: 04/14/2011 |
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: 05/27/2011date Of Correction: 07/08/2011 |
| 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: 05/08/2009date Of Correction: 05/25/2009 |
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: 03/15/2010date Of Correction: 06/10/2010 |
| 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: 10/25/2011date Of Correction: 12/06/2011 |
|
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
|
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
|
| 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: 03/03/2011date Of Correction: 04/14/2011 |
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: 11/01/2010date Of Correction: 12/13/2010 |
| 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: 03/03/2011date Of Correction: 04/14/2011 |
|
| Quality Care Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 12/08/2011date Of Correction: 01/19/2012 |
| Deficiency #2 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.survey Date: 12/08/2011date Of Correction: 01/19/2012 |
| Deficiency #3 |
| Scope: Somelevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Properly Care For Residents Needing Special Services, Including: Injections, Colostomy, Ureostomy, Ileostomy, Tracheostomy Care, Tracheal Suctioning, Respiratory Care, Foot Care, And Prostheses.survey Date: 05/27/2011date Of Correction: 07/08/2011 |
| Deficiency #4 |
| Scope: Somelevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Make Sure That Residents With Reduced Range Of Motion Get Proper Treatment And Services To Increase Range Of Motion.survey Date: 05/27/2011date Of Correction: 07/08/2011 |
| Deficiency #5 |
| Scope: Fewlevel Of Harm: 3deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 03/03/2011date Of Correction: 04/14/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .survey Date: 05/27/2011date Of Correction: 07/08/2011 |
| Deficiency #6 |
| Scope: Fewlevel Of Harm: 3deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/03/2011date Of Correction: 04/14/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 05/27/2011date Of Correction: 07/08/2011 |
| Deficiency #7 |
| Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 10/13/2009date Of Correction: 11/24/2009 |
Scope: Fewlevel Of Harm: 3deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.survey Date: 11/01/2010date Of Correction: 12/13/2010 |
| Deficiency #8 |
|
Scope: Fewlevel Of Harm: 2deficiency: Have Enough Nurses To Care For Every Resident In A Way That Maximizes The Resident's Well Being.survey Date: 03/15/2010date Of Correction: 06/05/2010 |
| Deficiency #9 |
|
Scope: Fewlevel Of Harm: 2deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.survey Date: 03/15/2010date Of Correction: 06/10/2010 |
| Deficiency #10 |
|
Scope: Fewlevel Of Harm: 2deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.survey Date: 03/15/2010date Of Correction: 06/05/2010 |
| 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: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Somelevel 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: 12/08/2011date Of Correction: 01/19/2012 |
| 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: 03/15/2010date Of Correction: 06/05/2010 |
| Deficiency #3 |
|
Scope: Somelevel Of Harm: 2deficiency: Check And Assess Each Resident's Assessment At Least Every 3 Months.survey Date: 03/15/2010date Of Correction: 06/05/2010 |
| Deficiency #4 |
|
Scope: Somelevel Of Harm: 2deficiency: Completely Assess The Resident At Least Every Twelve Months.survey Date: 03/15/2010date Of Correction: 06/05/2010 |
| 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: 10/25/2011date Of Correction: 12/06/2011 |
Scope: Somelevel 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: 12/08/2011date Of Correction: 01/19/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 03/03/2011date Of Correction: 04/14/2011 |
Scope: Somelevel Of Harm: 2deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.survey Date: 12/08/2011date Of Correction: 01/19/2012 |
| Deficiency #3 |
| Scope: Fewlevel Of Harm: 3deficiency: Choose A Doctor To Serve As The Medical Director To Create Resident Care Policies And Coordinate Medical Care In The Facility.survey Date: 03/03/2011date Of Correction: 04/14/2011 |
Scope: Fewlevel Of Harm: 2deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.survey Date: 03/15/2010date Of Correction: 06/05/2010 |
| Pharmacy Service Deficiencies |
| Deficiency #1 |
| Scope: Fewlevel Of Harm: 2deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
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: 12/08/2011date Of Correction: 01/19/2012 |
| Deficiency #2 |
| Scope: Fewlevel Of Harm: 2deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.survey Date: 10/25/2011date Of Correction: 12/06/2011 |
|
| Quality Measures Q1 |
| Percent of long-stay residents who received an antipsychotic medication |
| 18.9 % |
40 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 6.7 % |
4.2 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 2.4 % |
3.5 % |
| Percent of long-stay residents who lose too much weight |
| 12.9 (55.2) |
5.1 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 49.1 % |
16.7 % |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 75.2 % |
1.1 % |
| Percent of long-stay residents with a urinary tract infection |
| 7.6 % |
5.7 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.8 % |
10.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.7 % |
0.8 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 23.2 % |
25 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 78.4 % |
61.4 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 70.7 % |
38.3 % |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 1.50 % |
75.2 |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5 % |
1.6 % |
| Quality Measures Q3 |
| Percent of long-stay residents who received an antipsychotic medication |
| 26.1 % |
36.5 % |
| Percent of long-stay residents whose need for help with daily activities has increased |
| 75.2 % |
75.2 % |
| Percent of long-stay residents who self-report moderate to severe pain |
| 10.6 % |
4.5 % |
| Percent of long-stay high-risk residents with pressure ulcers |
| 3.1 % |
4.7 % |
| Percent of long-stay residents who lose too much weight |
| 9.6 % |
6.3 % |
| Percent of long-stay low-risk residents who lose control of their bowels or bladder |
| 39.2 % |
19.4:1 |
| Percent of long-stay residents who have had a catheter inserted and left in their bladder |
| 1.2 % |
1.3 % |
| Percent of long-stay residents with a urinary tract infection |
| 4.9 % |
4.4 % |
| Percent of long-stay residents who have depressive symptoms |
| 5.3 % |
5.4 % |
| Percent of long-stay residents who were physically restrained |
| 1.6 % |
0.8 % |
| Percent of long-stay residents experiencing one or more falls with major injury |
| 5.3 % |
3.1 % |
| Percent of short-stay residents who self-report moderate to severe pain |
| 19.9 % |
23 % |
| Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine |
| 46 % |
59.8 % |
| Percent of short-stay residents with Pressure ulcers that are new or worsened |
| 52.4 % |
8.9 / 9.9 |
| Percent of short-stay residents who newly received an antipsychotic medication |
| 15.1 % |
3.8 % |