Family Care Center Of Fairland - Fairland Nursing Home

General Information

UPDATE
Federal Provider Number
375515
Provider Name
FAMILY CARE CENTER OF FAIRLAND
Provider Address
12 EAST CONNER
FAIRLAND, OK 74343
Provider Phone Number
9186763685
Provider SSA County
570
Provider County Name
Ottawa
Ownership Type
For profit - Individual
Number of Certified Beds
29
Number of Residents in Certified Beds
28
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AWENASA MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
2007-07-15
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
2
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
0.71429
Reported LPN Staffing Hours per Resident per Day
0.89286
Reported RN Staffing Hours per Resident per Day
0.54464
Reported Licensed Staffing Hours per Resident per Day
1.43750
Reported Total Nurse Staffing Hours per Resident per Day
2.15179
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.38568
Expected LPN Staffing Hours per Resident per Day
0.70266
Expected RN Staffing Hours per Resident per Day
0.92869
Expected Total Nurse Staffing Hours per Resident per Day
4.01704
Adjusted CNA Staffing Hours per Resident per Day
0.73465
Adjusted LPN Staffing Hours per Resident per Day
1.05467
Adjusted RN Staffing Hours per Resident per Day
0.43820
Adjusted Total Nurse Staffing Hours per Resident per Day
2.15922
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
36
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
72
Cycle 2 Standard Health Survey Date
2013-04-17
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
11
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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