Butterfield Trail Village - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
45125
Provider Name
BUTTERFIELD TRAIL VILLAGE
Provider Address
1923 EAST JOYCE BLVD
FAYETTEVILLE, AR 72703
FAYETTEVILLE, AR 72703
Provider Phone Number
(479) 695-8065
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
57
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
BUTTERFIELD TRAIL VILLAGE, INC.
Date First Approved to Provide Medicare and Medicaid services
1986-06-16
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90351
Reported LPN Staffing Hours per Resident per Day
0.81930
Reported RN Staffing Hours per Resident per Day
0.95702
Reported Licensed Staffing Hours per Resident per Day
1.77632
Reported Total Nurse Staffing Hours per Resident per Day
4.67983
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.29260
Expected LPN Staffing Hours per Resident per Day
0.58844
Expected RN Staffing Hours per Resident per Day
0.86889
Expected Total Nurse Staffing Hours per Resident per Day
3.74993
Adjusted CNA Staffing Hours per Resident per Day
3.10753
Adjusted LPN Staffing Hours per Resident per Day
1.15563
Adjusted RN Staffing Hours per Resident per Day
0.82299
Adjusted Total Nurse Staffing Hours per Resident per Day
5.03048
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
24
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2013-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
28.66700
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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