COBALT LODGE HEALTH CARE & REHAB

The information listed below provides an in-depth look into the type and quality of care offered at Cobalt Lodge Health Care & Rehab. 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

COBALT LODGE HEALTH CARE & REHAB
29 MIDDLE HADDAM RD
COBALT, CT 06414
(860) 267-9034

Nursing Home Ratings

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

Percent of Beds Occupied

92%

Number of Residents and Certified Beds

  • Residents: 55
  • Certified Beds: 60

This Facility Accepts

  • Medicare
  • Medicaid

Operational Details

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

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Nearby Cities:

Middletown | Portland | Cromwell

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 "Medium 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 Cobalt Lodge Health Care & Rehab. 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

High Rehabilitation Plus Extensive Services

Rehabilitation 325 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: 2-101.3%
Total Percent:1.3%
 

Medium Rehabilitation Plus Extensive Services

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
  • 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: 2-102.0%
Total Percent:2.0%
 

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: 11-166.0%
ADL Index Range: 6-107.1%
Total Percent:13.1%
 

Very High Rehabilitation

Rehabilitation 500 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-165.6%
ADL Index Range: 6-108.2%
ADL Index Range: 0-55.3%
Total Percent:19.1%
 

High Rehabilitation

Rehabilitation 325 Minutes Per Week Minimum
  • At least one rehabilitation discipline five days/week
ADL Index Range: 11-167.5%
ADL Index Range: 6-102.9%
ADL Index Range: 0-511.7%
Total Percent:22.0%
 

Medium Rehabilitation

Rehabilitation 150 Minutes Per Week Minimum
  • Five days any combination of three rehabilitation disciplines
ADL Index Range: 11-1611.1%
ADL Index Range: 6-1014.0%
ADL Index Range: 0-56.0%
Total Percent:31.1%
 

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
1.8%
Total Percent:1.8%
 

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
2.0%
ADL Index Range: 2-5
- No Signs of depression
5.1%
Total Percent:7.1%
 

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
2.0%
Total Percent:2.0%
 

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: 2-5
- No Signs of depression
0.4%
Total Percent:0.4%
 

Rating Details For Cobalt Lodge Health Care & Rehab

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) Hours42 Minutes55 Minutes
Licensed Practical/Vocational Nurse (LPN/LVN) Hours31 Minutes37 Minutes
Certified Nursing Assistant (CNA) Hours2 Hours and 5 Minutes2 Hours and 18 Minutes
Total Licensed Nurse Hours1 Hour and 14 Minutes1 Hour and 31 Minutes
Total Nurse Hours3 Hours and 19 Minutes3 Hours and 49 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%88%

Long-Term Stay Deficiencies

Percent of Long-Stay Residents Who Are More Depressed or Anxious14%11%
Percent of Long-Stay Residents Who Had a Urinary Tract Infection6%7%
Percent of Long-Stay Residents Who Spend Most of Their Time in Bed or in a Chair-3%
Percent of High-Risk Long-Stay Residents Who Have Pressure Sores11%9%
Percent of Low-Risk Long-Stay Residents Who Have Pressure Sores2%2%
Percent of Long-Stay Residents Whose Ability to Move About in and Around Their Room Got Worse18%12%
Percent of Long-Stay Residents Who Were Physically Restrained-3%
Percent of Long-Stay Residents Who Have Moderate to Severe Pain1%2%
Percent of Long-Stay Residents Whose Need for Help with Daily Activities Has Increased17%15%
Percent of Low-Risk Long-Stay Residents Who Lose Control of Their Bowels or Bladder50%52%
Percent of Long-Stay Residents Who Lose Too Much Weight1%8%
Percent of Long-Stay Residents Who Have/Had a Catheter Inserted and Left in Their Bladder5%4%

Short-Term Stay Preventive Actions

Percent of Short-Stay Residents Who Were Assessed and Given Pneumococcal Vaccination90-100%78%
Percent of Short-Stay Residents Given Influenza Vaccination During the Flu Season89%79%

Short-Term Stay Deficiencies

Percent of Short-Stay Residents Who Have Delirium1%2%
Percent of Short-Stay Residents Who Have Pressure Sores11%12%
Percent of Short-Stay Residents Who Had Moderate to Severe Pain14%19%

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 09/02/2010.

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

Mistreatment

Keep Each Resident Free from Physical Restraints, Unless Needed for Medical Treatment.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009
1) Hire Only People Who Have No Legal History of Abusing, Neglecting or Mistreating Residents; or 2) Report and Investigate Any Acts or Reports of Abuse, Neglect or Mistreatment of Residents.
  • Inspection Date: 09/02/2010
  • Correction Date: 11/01/2010

Nutrition and Dietary

Store, Cook, and Give out Food in a Safe and Clean Way.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009

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: 11/03/2008
  • Correction Date: 12/15/2008
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: 08/10/2009
  • Correction Date: 10/15/2009
At Least Once a Month, Have a Licensed Pharmacist Check the Drugs That Each Resident Takes.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009

Quality Care

Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 11/03/2008
  • Correction Date: 12/15/2008
Give or Get Dental Care for Each Resident.
  • Inspection Date: 11/03/2008
  • Correction Date: 12/15/2008
Give Each Resident Care and Services to Get or Keep the Highest Quality of Life Possible.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009
Give Residents Proper Treatment to Prevent New Bed (Pressure) Sores or Heal Existing Bed Sores.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009
Give Professional Services That Meet a Professional Standard of Quality.
  • Inspection Date: 09/02/2010
  • Correction Date: 11/01/2010
Give Each Resident Enough Fluids to Keep Them Healthy and Prevent Dehydration.
  • Inspection Date: 09/02/2010
  • Correction Date: 11/01/2010

Resident Rights

Make Sure Each Resident Has the Right to Choose Activities, Schedules and Health Care According to His or Her Interests, Assessment, and Plan of Care.
  • Inspection Date: 11/03/2008
  • Correction Date: 12/15/2008
Send and Promptly Deliver Unopened Mail to Residents.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009
Let Residents Give Themselves Their Drugs if They Are Able.
  • Inspection Date: 08/10/2009
  • Correction Date: 10/15/2009
Provide Care in a Way That Keeps or Builds Each Resident's Dignity and Self Respect.
  • Inspection Date: 09/02/2010
  • Correction Date: 11/01/2010

Deficiencies from Complaints and Incidents

The table below lists incident reports by the nursing staff or administration for Cobalt Lodge Health Care & Rehab, 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

Follow All Laws and Professional Standards.
  • Complaint Filed: 05/20/2009
  • Correction Date: 06/26/2009

Quality Care

Give Professional Services That Follow Each Resident's Written Care Plan.
  • Complaint Filed: 01/21/2009
  • Correction Date: 03/09/2009

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 Cobalt Lodge Health Care & Rehab 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 08/31/2010.

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

Electrical

Properly Installed Electrical Wiring and Equipment.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010

Miscellaneous

Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 10/31/2008
  • Correction Date: 12/08/2008
Fire Safety Features Required by Current Fire Safety Codes.
  • Inspection Date: 08/31/2010
  • Correction Date: 10/15/2010
Source: Medicare Nursing Home Compare; Department of Public Health of Connecticut - Division of Health Systems Regulation - Retrieved 2011