CRESTFIELD REHABILITATION CENTER & FENWOOD MANOR

The information listed below provides an in-depth look into the type and quality of care offered at Crestfield Rehabilitation Center & Fenwood Manor. It is important to note that when evaluating if a nursing home is right for you or a loved one, ratings should not be taken as the sole deciding factor, but as one of many aspects to be considered.

Address

CRESTFIELD REHABILITATION CENTER & FENWOOD MANOR
565 VERNON ST
MANCHESTER, CT 06040
(860) 643-5151

Nursing Home Ratings

Health Inspections
Quality Measures
Nursing Staff
R.N. Staff Only
Overall Rating

Percent of Beds Occupied

82%

Number of Residents and Certified Beds

  • Residents: 127
  • Certified Beds: 155

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Corporation
  • Offers Only Resident Counseling
  • This Facility is Part of a Chain or Franchise

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Nearby Cities:

Vernon | Rockville | Tolland

Resident Services

The information below lists services this facility has provided for residents from October through December 2010. During this period, the most common type of service provided was "Ultra-High Rehabilitation". To get a better idea of the types of services that are commonly performed, compare the "Percent of Service Days" column below. These services are based on submitted claims to Medicare and do not provide a complete overview of all the services provided by Crestfield Rehabilitation Center & Fenwood Manor. For more information read our guide on how nursing facilities are reimbursed, types of services, and ADL index scores.

Resident ServicesResident ConditionsPercent of Service Days

Ultra-High Rehabilitation Plus Extensive Services

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-163.0%
ADL Index Range: 2-101.5%
Total Percent:4.5%
 

Very High Rehabilitation Plus Extensive Services

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 11-160.6%
Total Percent:0.6%
 

Ultra-High Rehabilitation

Rehabilitation 720 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
  • A second rehabilitation discipline three days/week
ADL Index Range: 11-1634.2%
ADL Index Range: 6-1021.3%
ADL Index Range: 0-53.1%
Total Percent:58.6%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1616.2%
ADL Index Range: 6-108.2%
ADL Index Range: 0-51.4%
Total Percent:25.7%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-163.9%
ADL Index Range: 6-101.1%
ADL Index Range: 0-51.0%
Total Percent:5.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-162.1%
Total Percent:2.1%
 

Extensive Services

  • Tracheostomy care
  • Ventilator or respirator
  • Isolation for active infectious disease while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 2-16
- Isolation for active infectious disease
0.09%
Total Percent:0.09%
 

Special Care High

  • Comatose
  • Septicemia
  • Diabetes with daily injections and a change of order two or more days
  • Quadriplegia with ADL score greater or equal to 5
  • Chronic Obstructive Pulmonary Disease (COPD) and shortness of breath when lying flat
  • Fever with pneumonia, or vomiting, or weight loss, or feeding tube
  • Parenteral/IV feedings
  • Respiratory therapy for 7 days
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- Signs of depression
0.4%
ADL Index Range: 15-16
- No Signs of depression
0.09%
ADL Index Range: 11-14
- Signs of depression
0.2%
ADL Index Range: 11-14
- No Signs of depression
0.4%
Total Percent:1.0%
 

Clinically Complex

  • Pneumonia, hemiplegia with ADL score >=5
  • Surgical wounds or open lesions with treatment
  • Burns
  • Chemotherapy while a resident
  • Oxygen therapy while a resident
  • IV medications or transfusions while a resident
  • Extensive Services, Special Care High or Special Care Low qualifier and ADL score of 0 or 1
ADL Index Range: 15-16
- No Signs of depression
0.6%
ADL Index Range: 6-10
- No Signs of depression
0.04%
ADL Index Range: 0-1
- No Signs of depression
0.6%
Total Percent:1.3%
 

Behavioral Symptoms and Cognitive Performance

  • Cognitive impairment BIMS score less than or equal to 9
  • CPS great than or equal to 3
  • Hallucinations or delusions
  • Physical or verbal behavioral symptoms toward others
  • Other behavioral symptoms
  • Rejection of care or wandering
  • Activities of Daily Living (ADL) score of 5 or less
ADL Index Range: 2-5
- Less restorative nursing
0.04%
Total Percent:0.04%
 

Rating Details For Crestfield Rehabilitation Center & Fenwood Manor

Nursing Staff -

The nursing staff is the most important part of what determines the quality of care and comfort of a resident in a nursing home. Government regulations set expectations on time spent with each resident based on the services being provided. The breakdown below lists the nursing types (RN, LPN, LVN, CNA) and a comparison of the reported and expected hours per resident per day.

Nursing Hours Per Resident Per DayReportedExpected
Registered Nurse (RN) Hours29 Minutes1 Hour and 16 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours57 Minutes44 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 40 Minutes2 Hours and 41 Minutes
Total Licensed Nurse Hours1 Hour and 26 Minutes1 Hour and 60 Minutes
Total Nurse Hours4 Hours and 6 Minutes4 Hours and 41 Minutes

Quality of Care -

Medicare determines quality of care ratings for nursing facilities by surveying several "quality measures", which are broken down into long-term and short-term stay residents, as well as if the action is preventive or if there is a deficiency in the quality of care. State averages for Connecticut are also provided for comparison purposes. Note: Figures below are averaged over the past nine months.

This FacilityConnecticut Average

Long-Term Stay Preventive Actions

Percent of Long-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination86%85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season89%88%

Long-Term Stay Deficiencies

Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder68%52%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain-2%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection11%7%
Percent of Long-Stay Residents Who Were Physically Restrained4%3%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair10%3%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Are More Depressed or Anxious14%11%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder10%4%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores13%9%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse15%12%
Percent of Long-Stay Residents Who Lose Too Much Weight9%8%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased19%15%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination83%78%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season78%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Pressure Sores12%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain9%19%
Percent of Short-Stay Residents Who Have Delirium3%2%

Health Inspection Details -

All Medicare and/or Medicaid certified nursing home must undergo health inspections on average once a year, but may be more frequent if the facility is peforming poorly. These inspections cover most aspects of life in a nursing home, and are broken down into deficiencies types, which including: Pharmacy Service, Administration, Resident Rights, Nutrition and Dietary, Resident Assessment, Environmental, and Mistreatment. Below are the list of deficiencies found by inspectors in the past few years along with the degree of harm and how many residents may have been affected. Note: The most recent health survey was on 01/18/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Administration

1) Review the Work of Each Nurse Aide Every Year; or 2) Give Regular Training for the Nurse Aides.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Set Up or Keep a Group of People to Review and Ensure Quality.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 08/04/2008
  • Correction Date: 09/15/2008
Provide Needed Housekeeping and Maintenance.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Have a Program to Keep Infection from Spreading.
  • Inspection Date: 01/18/2011
  • Correction Date: 04/18/2011
Make Sure That the Nursing Home Area is Safe, Easy to Use, Clean and Comfortable.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Put Firmly Secured Handrails on Each Side of Hallways.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Nutrition and Dietary

Make Sure That Residents Are Well Nourished.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Pharmacy Service

1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Make Sure That Each Resident Who Enters the Nursing Home Without a Catheter is Not Given a Catheter, Unless It is Necessary.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Resident Assessment

Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011
Develop a Complete Care Plan That Meets All of a Resident's Needs, with Timetables and Actions That Can Be Measured.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 10/23/2009
  • Correction Date: 12/04/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 01/18/2011
  • Correction Date: 03/01/2011

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Crestfield Rehabilitation Center & Fenwood Manor, as well as complaints by residents or their family in the previous three years.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Formal ComplaintsDegree of HarmResidents Affected

Administration

Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/15/2008
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009
Keep Accurate and Appropriate Medical Records.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Complaint Filed: 01/18/2011
  • Correction Date: 03/01/2011

Pharmacy Service

Make Sure That Residents Are Safe from Serious Medication Errors.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/15/2008
Have Drugs and Other Similar Products Available, Which Are Needed Every Day and in Emergencies, and Give Them out Properly.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009
1) Make Sure That Residents Who Take Drugs Are Not Given Too Many Doses or for Too Long; 2) Make Sure That the Use of Drugs is Carefully Watched; or 3) Stop or Change Drugs That Cause Unwanted Effects.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/15/2008
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Complaint Filed: 03/31/2009
  • Correction Date: 05/12/2009
Make Sure That Doctors See a Resident's Plan of Care at Every Visit and Make Notes About Progress and Orders in Writing.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010

Resident Rights

Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 08/04/2008
  • Correction Date: 09/15/2008
Immediately Tell the Resident, Doctor, and a Family Member If: the Resident is Injured, There is a Major Change in Resident's Physical/Mental Health, There is a Need to Alter Treatment Significantly, or the Resident Must Be Transferred or Discharged.
  • Complaint Filed: 03/12/2010
  • Correction Date: 04/23/2010
Let Residents Give Themselves Their Drugs if They Are Able.
  • Complaint Filed: 05/18/2010
  • Correction Date: 06/29/2010

Fire Safety

Nursing homes certified by Medicare and/or Medicaid are required to have fire safety inspections to meet Life Safety Code (LSC) standards. Below is a list of deficiencies that Crestfield Rehabilitation Center & Fenwood Manor had in recent fire safety inspections. This information can be used to see if all standards were met, the degree of harm, the number of residents affected, and the date when deficiencies were corrected. Note: The most recent fire safety survey was on 01/21/2011.

Degree of Harm

  • - Potential for Minimal Harm
  • - Minimal Harm or Potential for Harm
  • - Resident Harmed
  • - Immediate Jeopardy to Resident Health

Residents Affected

  • - Isolated
  • - Some Residents
  • - Many Residents
Deficiencies Found By InspectorsDegree of HarmResidents Affected

Corridor Walls and Doors

Corridor and Hallway Doors That Block Smoke.
  • Inspection Date: 09/22/2009
  • Correction Date: 11/30/2009

Electrical

Weekly Inspections and Monthly Testing of Generators.
  • Inspection Date: 09/22/2009
  • Correction Date: 12/15/2009

Emergency Plans and Fire Drills

Did Not Have a Written Emergency Evacuation Plan.
  • Inspection Date: 07/25/2008
  • Correction Date: 09/15/2008

Exits and Egress

Rooms That Can Be Unlocked from Inside Without a Key.
  • Inspection Date: 07/25/2008
  • Correction Date: 09/15/2008
Exits That Are Accessible at All Times.
  • Inspection Date: 09/22/2009
  • Correction Date: 11/30/2009

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 07/25/2008
  • Correction Date: 09/15/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 01/21/2011
  • Correction Date: 03/23/2011

Smoke Compartmentation and Control

Walls or Barriers That Prevent Smoke from Passing Through and Would Resist Fire for at Least One Hour.
  • Inspection Date: 09/22/2009
  • Correction Date: 11/30/2009
Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011