Arbors At Fairmont - Fairmont Nursing Home
General Information
UPDATEFederal Provider Number
515189
Provider Name
ARBORS AT FAIRMONT
Provider Address
130 KAUFMAN DRIVE
FAIRMONT, WV 26554
FAIRMONT, WV 26554
Provider Phone Number
(304) 363-5633
Provider SSA County
240
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
KAUFMAN STREET WV LLC
Date First Approved to Provide Medicare and Medicaid services
2005-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
0.02130
Reported LPN Staffing Hours per Resident per Day
0.95391
Reported RN Staffing Hours per Resident per Day
0.66826
Reported Licensed Staffing Hours per Resident per Day
1.62217
Reported Total Nurse Staffing Hours per Resident per Day
1.64347
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04957
Expected CNA Staffing Hours per Resident per Day
2.37810
Expected LPN Staffing Hours per Resident per Day
0.60841
Expected RN Staffing Hours per Resident per Day
0.88613
Expected Total Nurse Staffing Hours per Resident per Day
3.87264
Adjusted CNA Staffing Hours per Resident per Day
0.02198
Adjusted LPN Staffing Hours per Resident per Day
1.30133
Adjusted RN Staffing Hours per Resident per Day
0.56349
Adjusted Total Nurse Staffing Hours per Resident per Day
1.71063
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2013-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
21
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
192
Cycle 2 Standard Health Survey Date
2012-06-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
192
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2010-03-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
110.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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