Village Green of Bristol Rehab & Health Center · 23 Fair Street Operations LLC

8605892923 · 23 Fair Street, Forestville, CT 06010

Overview

Village Green of Bristol Rehab & Health Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #075198. The provider type is Medicare and Medicaid. The ownership type is for profit - corporation. The address is 23 Fair Street, Forestville, CT 06010. The overall rating is 2.

Federal Provider Number 075198
Provider Name VILLAGE GREEN OF BRISTOL REHAB & HEALTH CENTER
Legal Business Name 23 FAIR STREET OPERATIONS LLC
Address 23 Fair Street
Forestville
CT 06010
County Hartford
Telephone 8605892923
Ownership Type For profit - Corporation
Provider Type Medicare and Medicaid
Date Approved 1971-10-01
Number of Certified Beds 120
Average Number of Residents per Day 80.9
Provider Resides in Hospital N
Continuing Care Retirement Community N
Abuse Icon N
Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2.
Most Recent Health Inspection More Than 2 Years Ago Y
Provider Changed Ownership in Last 12 Months N
With a Resident and Family Council Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 2
Health Inspection Rating 2
Quality Measure Rating 5
Long Stay Quality Measure Rating 4
Short Stay Quality Measure Rating 5
Staffing Rating 1
Registered Nurses Staffing Rating 1
Reported CNA Staffing Hours per Resident per Day 2.21623
Reported LPN Staffing Hours per Resident per Day 1.18353
Reported RN Staffing Hours per Resident per Day 0.64001
Reported Licensed Staffing Hours per Resident per Day 1.82353
Reported Total Nurse Staffing Hours per Resident per Day 4.03976
Reported Physical Therapist Staffing Hours per Resident Per Day 0.07060
Expected CNA Staffing Hours per Resident per Day 2.28408
Expected LPN Staffing Hours per Resident per Day 0.84780
Expected RN Staffing Hours per Resident per Day 0.86812
Expected Total Nurse Staffing Hours per Resident per Day 4.00000
Adjusted CNA Staffing Hours per Resident per Day 1.99764
Adjusted LPN Staffing Hours per Resident per Day 1.03431
Adjusted RN Staffing Hours per Resident per Day 0.29504
Adjusted Total Nurse Staffing Hours per Resident per Day 3.23171
Rating Cycle 1 Standard Survey Health Date 2019-03-21
Rating Cycle 1 Total Number of Health Deficiencies 15
Rating Cycle 1 Number of Standard Health Deficiencies 10
Rating Cycle 1 Number of Complavarchar Health Deficiencies 3
Rating Cycle 1 Health Deficiency Score 64
Rating Cycle 1 Number of Health Revisits 1
Rating Cycle 1 Health Revisit Score 0
Rating Cycle 1 Total Health Score 64
Rating Cycle 2 Standard Health Survey Date 2018-02-13
Rating Cycle 2 Total Number of Health Deficiencies 12
Rating Cycle 2 Number of Standard Health Deficiencies 10
Rating Cycle 2 Number of Complavarchar Health Deficiencies 2
Rating Cycle 2 Health Deficiency Score 48
Rating Cycle 2 Number of Health Revisits 1
Rating Cycle 2 Health Revisit Score 0
Rating Cycle 2 Total Health Score 48
Rating Cycle 3 Standard Health Survey Date 2017-03-03
Rating Cycle 3 Total Number of Health Deficiencies 6
Rating Cycle 3 Number of Standard Health Deficiencies 4
Rating Cycle 3 Number of Complavarchar Health Deficiencies 2
Rating Cycle 3 Health Deficiency Score 24
Rating Cycle 3 Number of Health Revisits 1
Rating Cycle 3 Health Revisit Score 0
Rating Cycle 3 Total Health Score 24
Total Weighted Health Survey Score 52.000
Number of Facility Reported Incidents 3
Number of Substantiated Complavarchars 1
Number of Citations from Infection Control Inspections 5
Number of Fines 0
Total Amount of Fines in Dollars 0.00
Number of Payment Denials 0
Total Number of Penalties 0
Processing Date 2021-05-01
Notes CMS: Centers for Medicare & Medicaid Services
CNA: Certified Nursing Assistant
LPN: Licensed Practical Nurse
RN: Registered Nurse

Ownership Information
VILLAGE GREEN OF BRISTOL REHAB & HEALTH CENTER

Role PlayedOwner NameOwner TypeOwnership PercentageAssociation Date
5% OR GREATER DIRECT OWNERSHIP INTERESTSUMMIT CARE LLCOrganization100%since 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTDONNA REIS 1995 FAM TROrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTFC-GEN OPERATIONS INVESTMENT LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTFISHMAN, STEVENIndividualNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTGEN OPERATIONS I, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTGEN OPERATIONS II, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTGENESIS HEALTHCARE INCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTGENESIS HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTHCCF MANAGEMENT GROUP XI LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTONEX PARTNERS LPOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTSENIOR CARE GENESIS LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTSENIOR CARE HOLDINGS, LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTSKILLED HEALTHCARE LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTSUMMIT CARE PARENT LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTSUN HEALTHCARE GROUP, INC.OrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTWHITMAN, ARNOLDIndividualNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER INDIRECT OWNERSHIP INTERESTZAC PROPERTIES XI LLCOrganizationNO PERCENTAGE PROVIDEDsince 07/02/2015
5% OR GREATER SECURITY INTERESTGENERAL ELECTRIC CAPITAL CORPORATIONOrganizationsince 12/01/2015
MANAGING EMPLOYEEDAVIS, KEITHIndividualsince 12/01/2015
OFFICERBERG, MICHAELIndividualsince 12/01/2015
OFFICERCULLEROT, KENIndividualsince 12/01/2015
OFFICEREDWARDS, JANIndividualsince 12/01/2015
OFFICERLABATE, WENDYIndividualsince 12/01/2015
OFFICERSHERMAN, MICHAELIndividualsince 12/01/2015
OPERATIONAL/MANAGERIAL CONTROLBERG, MICHAELIndividualsince 12/01/2015
OPERATIONAL/MANAGERIAL CONTROLDAVIS, KEITHIndividualsince 12/01/2015
OPERATIONAL/MANAGERIAL CONTROLGENESIS HEALTHCARE LLCOrganizationsince 07/02/2015

Location Information

Street Address 23 FAIR STREET
City FORESTVILLE
State CT
Zip Code 06010

Nursing Homes in the same zip code

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Sheriden Woods Health Care Center Inc 321 Stonecrest Drive, Bristol, CT 0601086058318271991-10-013
Ingraham Manor · Bristol Health Care, Inc. 400 N Main St, Bristol, CT 0601086058434001989-12-294
Countryside Manor of Bristol · Bristol Cch Group, LLC 1660 Stafford Avenue, Bristol, CT 0601086058384831998-04-064
Pines At Bristol for Nursing & Rehabilitation, The · Bristol Crossings LLC 61 Bellevue Avenue, Bristol, CT 0601086058916821972-09-073

Nursing Homes in the same city

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Forestville Healthcare Center · Marlboro Leasing Co., LLC 7420 Marlboro Pike, Forestville, MD 2074730173602401971-02-205

Nursing Homes in the state of CT

Nursing Home NameAddressTelephoneDate ApprovedOverall Rating
Laurel Ridge Health Care Cente · Athena Holdings, LLC 642 Danbury Road, Ridgefield, CT 0687720343882261994-01-253
Cherry Brook Health Care Cente · New Horizons Inc 102 Dyer Avenue, Collinsville, CT 0602286069377771994-01-274
Orchard Grove Specialty Care Center, LLC · Orchard Grove Specialty Care Center LLC 5 Richard Brown Drive, Uncasville, CT 0638286084884662004-12-301
Vanderman Place · Jacc Healthcare Center of Windham LLC 595 Valley Street, Willimantic, CT 0622686045070602000-03-154
Northbridge Health Care Center, Inc. 2875 Main Street, Bridgeport, CT 0660620333602321996-11-154
Bride Brook Health & Rehabilitation Center · Ssc Niantic Operating Company LLC 23 Liberty Way, Niantic, CT 0635786073940071992-02-245
Meadow Ridge · Redding Life Care LLC 100 Redding Road, West Redding, CT 0689620354410002002-11-262
Marlborough Health & Rehabilitation Center · Marlborough Health Care Center,Inc 85 Stage Harbor Road, Marlborough, CT 0644786029595311993-04-145
Sharon Health Care Center · Sharon Snf Ct LLC 27 Hospital Hill Road, Sharon, CT 0606986036410021992-11-182
Bridgeport Manor · Bridgeport Health Care Center, Inc. 540 Bond Street, Bridgeport, CT 0661020338465001992-01-011
Find all nursing homes in the state of CT

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Dataset Information

This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.