GREENTREE MANOR NURSING & REHABILITATION

The information listed below provides an in-depth look into the type and quality of care offered at Greentree Manor Nursing & Rehabilitation. 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

GREENTREE MANOR NURSING & REHABILITATION
4 GREENTREE DR
WATERFORD, CT 06385
(860) 442-0647

Nursing Home Ratings

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

Percent of Beds Occupied

88%

Number of Residents and Certified Beds

  • Residents: 79
  • Certified Beds: 90

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

  • Operated By For Profit - Partnership
  • Offers Only Resident Counseling
  • This Facility is Not Part of a Chain or Franchise

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Nearby Cities:

New London | Groton | Uncasville

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 "Very 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 Greentree Manor Nursing & Rehabilitation. 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: 11-160.3%
ADL Index Range: 2-101.7%
Total Percent:2.0%
 

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: 11-161.3%
Total Percent:1.3%
 

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: 11-164.6%
ADL Index Range: 6-108.2%
ADL Index Range: 0-523.7%
Total Percent:36.5%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-1612.9%
ADL Index Range: 6-109.0%
ADL Index Range: 0-515.5%
Total Percent:37.4%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-161.3%
ADL Index Range: 6-100.5%
Total Percent:1.9%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-160.8%
ADL Index Range: 6-100.2%
Total Percent:1.0%
 

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: 6-10
- No Signs of depression
5.1%
Total Percent:5.1%
 

Special Care Low

  • Cerebral palsy, multiple sclerosis, or Parkinson's disease with ADL score greater or equal to 5
  • Respiratory failure and oxygen therapy while a resident
  • Feeding tube where calories >= 51% or calories are in the range of 26-50% and fluid >= 501 mL)
  • Ulcers: 2 or more stage II or 1 or more stage III or IV pressure ulcers
  • Ulcers: 2 or more venous or arterial ulcers
  • Ulcers: 1 stage II pressure ulcer and 1 venous or arterial ulcer with 2 or more skin care treatments
  • Foot infection/diabetic foot ulcer/open lesions of foot with treatment
  • Radiation therapy while a resident
  • Dialysis while a resident
  • Activities of Daily Living (ADL) score of 2 or more
ADL Index Range: 15-16
- No Signs of depression
2.6%
ADL Index Range: 11-14
- No Signs of depression
2.9%
Total Percent:5.4%
 

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: 11-14
- No Signs of depression
5.6%
ADL Index Range: 6-10
- No Signs of depression
0.8%
ADL Index Range: 2-5
- No Signs of depression
0.2%
ADL Index Range: 0-1
- No Signs of depression
0.4%
Total Percent:7.0%
 

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: 0-1
- Less restorative nursing
2.1%
Total Percent:2.1%
 

Reduced Physical Function

  • Urinary and/or bowel training program
  • Passive and/or active range of motion (ROM)
  • Amputation/prosthesis training
  • Dressing or grooming training
  • Eating or swallowing training
  • Transfer training
  • Splint or brace assistance
  • Bed mobility and/or walking training
  • Communication training
ADL Index Range: 11-14
- Less restorative nursing
0.4%
Total Percent:0.4%
 

Rating Details For Greentree Manor Nursing & Rehabilitation

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) Hours59 Minutes59 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours58 Minutes38 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 47 Minutes2 Hours and 31 Minutes
Total Licensed Nurse Hours1 Hour and 57 Minutes1 Hour and 37 Minutes
Total Nurse Hours4 Hours and 45 Minutes4 Hours and 7 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 Vaccination90-100%85%
Percent of Long-Stay Residents Given Influenza Vaccination During the Flu Season90-100%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Lose Too Much Weight11%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder6%4%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder65%52%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores7%9%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased14%15%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain2%2%
Percent of Long-Stay Residents Who Were Physically Restrained6%3%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse10%12%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection7%7%
Percent of Long-Stay Residents Who Are More Depressed or Anxious10%11%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores-2%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair2%3%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season90-100%79%
Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%78%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Had Moderate to Severe Pain28%19%
Percent of Short-Stay Residents Who Have Pressure Sores23%12%
Percent of Short-Stay Residents Who Have Delirium1%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 04/14/2011.

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

Environmental

Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
Make Sure That the Nursing Home Area is Free of Dangers That Cause Accidents.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010

Pharmacy Service

Properly Mark Drugs and Other Similar Products.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
Prevent a Loss in Range of Motion Among Residents Who Entered the Nursing Home with a Full Range of Motion.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
Make Sure That Residents with Reduced Range of Motion Get Proper Treatment and Services to Increase Range of Motion.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010
Give or Get Dental Care for Each Resident.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010

Resident Assessment

Make a Complete Assessment That Covers All Questions for Areas That Are Listed in Official Regulations.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 01/22/2009
  • Correction Date: 03/05/2009
1) Develop a Complete Care Plan Within 7 Days of Each Resident's Admission; 2) Prepare a Care Plan with the Care Team, Including the Primary Nurse, Doctor, Resident or Resident's Family or Representative; or 3) Check and Update the Care Plan.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010

Resident Rights

Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010
Make Sure That Private Space is Available in the Nursing Home for Resident Groups or Residents' Families to Meet.
  • Inspection Date: 03/02/2010
  • Correction Date: 04/08/2010
Tell Each Resident Who Can Get Medicaid Benefits About 1) Which Items and Services Medicaid Covers and Which the Resident Must Pay For; or 2) How to Apply for Medicaid, Along with the Names and Addresses of State Groups That Can Help.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/17/2011

Enforcement

Below is a list of any civil penalities or denials of payment for new admissions (DPNA) that this facility received in the previous three years. Note: Monetary figures are not available for DPNAs.

Action TakenDateAmount
Civil Money Penalty (CMP)01/22/2009$1,625

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Greentree Manor Nursing & Rehabilitation, 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

Quality Care

Give Professional Services That Meet a Professional Standard of Quality.
  • Complaint Filed: 05/22/2008
  • Correction Date: 07/03/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 05/22/2008
  • Correction Date: 07/03/2008
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 05/22/2008
  • Correction Date: 07/03/2008
Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 07/20/2010
  • Correction Date: 08/23/2010
Make Sure That Each Resident's Nutritional Needs Were Met.
  • Complaint Filed: 04/14/2011
  • Correction Date: 05/17/2011
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Complaint Filed: 04/14/2011
  • Correction Date: 05/17/2011

Resident Rights

Try to Resolve Each Resident's Complaints Quickly.
  • Complaint Filed: 05/22/2008
  • Correction Date: 07/03/2008

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 Greentree Manor Nursing & Rehabilitation 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 04/14/2011.

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

Exits and Egress

Exits That Are Accessible at All Times.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/29/2011

Illumination and Emergency Power

Emergency Lighting That Can Last at Least 1 1/2 Hours.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/29/2011

Medical Gases and Anesthetizing Areas

Proper Fire Barriers, Ventilation and Signs for the Transport of Oxygen.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/29/2011

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 04/14/2011
  • Correction Date: 05/29/2011
Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011