Middlebury Convalescent Home
Middlebury Convalescent Home Information
| Facility Name | Middlebury Convalescent Home |
| Location | 778 Middlebury Rd, Middlebury, CT 6762 |
| County (SSA Code) | New Haven (40) |
| Phone Number | 203-758-2471 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 58 |
| Average Number of Residents | 49.3 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | MIDDLEBURY CONVALESCENT HOME, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1967-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.8927 |
| Reported LPN Staffing Hours per Resident per Day | 0.86989 |
| Reported RN Staffing - Hours per Resident per Day | 0.86653 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.73642 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.62911 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.11146 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1154 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.641 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.3111 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.0675 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.81123 |
| Total Weighted Health Survey Score for three cycles | 16.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-05-09 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 4 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-24 |
| Rating cycle 2 - Health Deficiency Score | 4 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-25 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 6633 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |