Nursing Home

LUTHERAN HOME OF SOUTHBURY INC

Overall Rating

Address

990 North Main Street

Southbury, CT 06488

Contact

2032649135

Certification Date

1991-10-01

Details

CMS Certification Number

075371

Ownership Type

Non profit - Corporation

Number of Certified Beds

120

Average Number of Residents per Day

113.6

Provider Type

Medicare and Medicaid

Legal Business Name

LUTHERAN HOME OF SOUTHBURY INC

Affiliated Entity Name

ASCENTRIA CARE ALLIANCE

Affiliated Entity ID

49

Ratings

Health Inspection Rating

4

Quality Measure Rating

2

Staffing Rating

4

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.58020

Reported LPN Staffing Hours per Resident per Day

0.92865

Reported RN Staffing Hours per Resident per Day

0.74270

Reported Total Nurse Staffing Hours per Resident per Day

4.25156

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.56039

Registered Nurse Hours per Resident per Day on the Weekend

0.31357

Reported Physical Therapist Staffing Hours per Resident Per Day

0.08840

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

28.667

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-08-29

Total Number of Health Deficiencies

8

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

0

Health Deficiency Score

28

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

28

Rating Cycle 2

Standard Health Survey Date

2021-07-20

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

0

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Rating Cycle 3

Standard Health Survey Date

2020-03-12

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

1

Total Amount of Fines in Dollars

3250.00

Number of Payment Denials

0

Total Number of Penalties

1