Fairhaven Rest Home Inc - Huntington Nursing Home
General Information
UPDATEFederal Provider Number
515021
Provider Name
FAIRHAVEN REST HOME INC
Provider Address
700 MADISON AVENUE, PO BOX 2806
HUNTINGTON, WV 25727
HUNTINGTON, WV 25727
Provider Phone Number
3045220032
Provider SSA County
50
Provider County Name
Cabell
Ownership Type
For profit - Corporation
Number of Certified Beds
41
Number of Residents in Certified Beds
41
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRHAVEN REST HOME INC
Date First Approved to Provide Medicare and Medicaid services
1967-03-23
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25732
Reported LPN Staffing Hours per Resident per Day
1.03049
Reported RN Staffing Hours per Resident per Day
0.50244
Reported Licensed Staffing Hours per Resident per Day
1.53293
Reported Total Nurse Staffing Hours per Resident per Day
3.79025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.10615
Expected LPN Staffing Hours per Resident per Day
0.53175
Expected RN Staffing Hours per Resident per Day
0.74094
Expected Total Nurse Staffing Hours per Resident per Day
3.37885
Adjusted CNA Staffing Hours per Resident per Day
2.62981
Adjusted LPN Staffing Hours per Resident per Day
1.60847
Adjusted RN Staffing Hours per Resident per Day
0.50668
Adjusted Total Nurse Staffing Hours per Resident per Day
4.52170
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-22
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
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Heritage Center
101-13th Street |
HUNTINGTON WV 25701 | 1.7 miles away
Cabell Huntington Hospital Tcu
1340 Hal Greer Boulevard |
HUNTINGTON WV 25701 | 2.2 miles away
Huntington Health And Rehabilitation Center
1720 17th Street |
HUNTINGTON WV 25701 | 2.4 miles away
St. Mary's Hospital
2900 First Street |
HUNTINGTON WV 25702 | 3.8 miles away
Cabell Health Care Center
30 Hidden Brook Way |
CULLODEN WV 25510 | 20.1 miles away
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