Vanderman Place
Vanderman Place Information
| Facility Name | Vanderman Place |
| Location | 595 Valley Street, Willimantic, CT 6226 |
| County (SSA Code) | Windham (70) |
| Phone Number | 860-450-7060 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 124 |
| Average Number of Residents | 80.2 |
| 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 | Resident |
| Provider Business Name | JACC HEALTHCARE CENTER OF WINDHAM LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 2000-03-15 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.94527 |
| Reported LPN Staffing Hours per Resident per Day | 0.88195 |
| Reported RN Staffing - Hours per Resident per Day | 0.66229 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.54425 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.48952 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.05579 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.84791 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.68557 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.34444 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.87792 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.86572 |
| Total Weighted Health Survey Score for three cycles | 45.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-03-07 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 72 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-01-23 |
| Rating cycle 2 - Health Deficiency Score | 72 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-01-12 |
| Rating cycle 3 - Health Deficiency Score | 32 |
| Rating cycle 3 - Total Health Inspection Score | 32 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 4 |
| Number of Substantiated Complaints | 4 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 34711 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |