Provider Name: LUDLOWE CENTER FOR HEALTH & REHABILITATION, LLC
Address: 118 JEFFERSON STREET, FAIRFIELD, CT 06825
Phone: (203) 372-4501
County: Fairfield (000)
Ownership Type: For profit - Limited Liability company
Certified Beds: 144
Average Residents Per Day: 136. ()
Provider Type: Medicare and Medicaid, Resides in Hospital: No
Legal Business Name: LUDLOWE CENTER FOR HEALTH AND REHABILITATION, LLC
First Approved Date: December 12, 1989
Affiliated Entity: NATIONAL HEALTH CARE ASSOCIATES (363)
Retirement Community: N, Special Focus Status:
Ownership Change in Last 12 Months: N
Resident Family Council: Resident
Sprinkler System Status: Yes
Overall Rating: 3 ()
Health Inspection Rating: 3 ()
QM Rating: 4 ()
Long Stay QM Rating: 5 ()
Short Stay QM Rating: 4 ()
Staffing Rating: 3 ()
Staffing Report Note:
PT Staffing Note:
Nurse Aide Staff Hours Per Day, per resident: 2.09715, LPN Staff Hours Per Day: 1.1094, RN Staff Hours Per Day: 0.5750, Licensed Staff Hours Per Day: 1.6844
Total Nurse Staff Hours Per Day, per resident: 3.78163
Weekend Nurse Staff Hours: 3.43370, Weekend RN Staff Hours: 0.3673
PT Staff Hours Per Day, per resident: 0.0754
Nurse Staff Turnover: 30.1, Nurse Turnover Note:
RN Turnover: 30.4, RN Turnover Note:
Admin Left Number: 0, Admin Turnover Note:
Case Mix Nurse Aide Hours Per Day, per resident: 2.2920, Case Mix LPN Hours Per Day: 0.8072, Case Mix RN Hours Per Day: 0.4839
Adjusted Nurse Aide Hours Per Day, per resident: 1.86405, Adjusted LPN Hours Per Day: 1.0142, Adjusted RN Hours Per Day: 0.4476
Total Adjusted Nurse Hours Per Day, per resident: 3.32655
Adjusted Weekend Nurse Hours Per Day, per resident: 3.02049
Health Survey Dates and Scores: Cycle 1: 2023-12-18 (Score: 16), Cycle 2: 2021-08-18 (Score: 107), Cycle 3: 2019-04-18 (Score: 24)
Total Weighted Health Score: 47.667
Reported Incidents: 1, Substantiated Complaints: 2
Infection Control Citations:
Fines and Penalties: Number of Fines: 1, Total Fines in Dollars: 11908.00, Payment Denials Number: 0, Total Penalties Number: 1
Location and GPS: 118 JEFFERSON STREET,FAIRFIELD,CT,06825 (41.2231, -73.247)
Process Date: 2024-03-01
Each record details specific health deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications:
Type: Health, Deficiency: Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-01-29
Type: Health, Deficiency: Coordinate assessments with the pre-admission screening and resident review program; and referring for services as needed.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-01-29
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-01-29
Type: Health, Deficiency: Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has plan of correction on 2024-01-29
Type: Health, Deficiency: Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-07-20
Type: Health, Deficiency: Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2022-04-05
Type: Health, Deficiency: Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options.
Severity: J - Level 4: Immediate jeopardy to resident health or safety. Plan of Correction required.
Corrected: Past Non-Compliance on 2022-04-05
Type: Health, Deficiency: Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-09-29
Type: Health, Deficiency: Ensure medication error rates are not 5 percent or greater.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-09-29
Type: Health, Deficiency: Honor the resident's right to and the facility must promote and facilitate resident self-determination through support of resident choice.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2021-12-09
Type: Health, Deficiency: Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-28
Type: Health, Deficiency: Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-28
Type: Health, Deficiency: Implement gradual dose reductions(GDR) and non-pharmacological interventions, unless contraindicated, prior to initiating or instead of continuing psychotropic medication; and PRN orders for psychotropic medications are only used when the medication is necessary and PRN use is limited.
Severity: D - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-28
Type: Health, Deficiency: Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Severity: E - Level 2: No actual harm with potential for more than minimal harm. Plan of Correction required.
Corrected: Deficient, Provider has date of correction on 2019-05-28
Each record details specific fire safety deficiencies found during inspections, categorized by type, severity, and whether they were corrected. Below are the severity levels and their implications: