Fairfield Nursing & Rehabilitation Center - Crownsville Nursing Home
General Information
UPDATEFederal Provider Number
215236
Provider Name
FAIRFIELD NURSING & REHABILITATION CENTER
Provider Address
1454 FAIRFIELD LOOP ROAD
CROWNSVILLE, MD 21032
CROWNSVILLE, MD 21032
Provider Phone Number
4109236820
Provider SSA County
10
Provider County Name
Anne Arundel
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID-ATLANTIC OF FAIRFIELD, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-11-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79148
Reported LPN Staffing Hours per Resident per Day
0.61534
Reported RN Staffing Hours per Resident per Day
1.08977
Reported Licensed Staffing Hours per Resident per Day
1.70511
Reported Total Nurse Staffing Hours per Resident per Day
3.49659
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18409
Expected CNA Staffing Hours per Resident per Day
2.62358
Expected LPN Staffing Hours per Resident per Day
0.69857
Expected RN Staffing Hours per Resident per Day
1.29815
Expected Total Nurse Staffing Hours per Resident per Day
4.62031
Adjusted CNA Staffing Hours per Resident per Day
1.67548
Adjusted LPN Staffing Hours per Resident per Day
0.73111
Adjusted RN Staffing Hours per Resident per Day
0.62726
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05053
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-10-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-08-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
11
Number of Substantiated Complaints
11
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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