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   State of Connecticut
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Operating Legal Entity and 'Doing Business As' Name:

Legal Name

CRESTWOOD MANOR, LLC

DBA

CRESTWOOD MANOR LLC


Credential

License Type

Residential Care Facility

License Number

1723RCH

Expiration Date

12/31/2025

Granted Date

01/01/2008

License Status

CLOSED


Citations in the last year

Citation Class A (1)

None

Citation Class B (1)

None


Full Time Staffing

Admin

1

Registered Nurse

0

Licensed Practical Nurse

0

Nursing Assistant

4

Recreation

0

Social Services

0

Food Service Supervisor

3.50

Physical Therapy

0

Occupational Therapy

0

Speech Therapy

0

Dietary

2

Other Staff

4.50


Optional Services

Languages Spoken by Staff

Spanish

Programs Available

Home Care, Recreation

Religious Services Available

All Denominations, Catholic

Religious Affiliation

All Denominations


Rooms and Rates

Private Room Rate A

125

# of Private Room Rate A

2

Private Room Rate B

# of Private Room Rate B

Semi-Private Room Rate A

115

# of Semi-Private Room Rate A

10

Private Semi-Room Rate B

115

# of Semi-Private Room Rate B

2


Plans of Correction and Inspection Reports

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

04-10-2023

Credential

RCH.1723RCH

Type

Plan of Correction

Document Date

04-10-2023

Credential

RCH.1723RCH

Type

Plan of Correction

Document Date

05-31-2022

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

08-23-2021

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

09-26-2023

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

09-26-2023

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

09-26-2023

Credential

RCH.1723RCH

Type

Inspection Report

Document Date

09-26-2023