Nebraska Nursing Homes >> Fairmont Nursing Homes >> Fairview Manor

Fairview Manor - Fairmont Nursing Home

General Information

UPDATE
Federal Provider Number
285206
Provider Name
FAIRVIEW MANOR
Provider Address
255 F STREET
FAIRMONT, NE 68354
Provider Phone Number
4022682271
Provider SSA County
290
Provider County Name
Fillmore
Ownership Type
Government - City
Number of Certified Beds
40
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CITY OF FAIRMONT NEBRASKA - FAIRVIEW MANOR
Date First Approved to Provide Medicare and Medicaid services
1997-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.22500
Reported LPN Staffing Hours per Resident per Day
1.03947
Reported RN Staffing Hours per Resident per Day
0.63289
Reported Licensed Staffing Hours per Resident per Day
1.67237
Reported Total Nurse Staffing Hours per Resident per Day
3.89736
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01842
Expected CNA Staffing Hours per Resident per Day
2.35408
Expected LPN Staffing Hours per Resident per Day
0.60024
Expected RN Staffing Hours per Resident per Day
0.79850
Expected Total Nurse Staffing Hours per Resident per Day
3.75282
Adjusted CNA Staffing Hours per Resident per Day
2.31916
Adjusted LPN Staffing Hours per Resident per Day
1.43737
Adjusted RN Staffing Hours per Resident per Day
0.59223
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18615
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-07-01
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
14.66700
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

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