Fair Havens Christian Home - Decatur Nursing Home
General Information
UPDATEFederal Provider Number
145422
Provider Name
FAIR HAVENS CHRISTIAN HOME
Provider Address
1790 SOUTH FAIRVIEW AVENUE
DECATUR, IL 62521
DECATUR, IL 62521
Provider Phone Number
(217) 429-2551
Provider SSA County
660
Provider County Name
Macon
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIR HAVENS CHRISTIAN HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.18031
Reported LPN Staffing Hours per Resident per Day
0.81811
Reported RN Staffing Hours per Resident per Day
0.59488
Reported Licensed Staffing Hours per Resident per Day
1.41299
Reported Total Nurse Staffing Hours per Resident per Day
3.59330
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05669
Expected CNA Staffing Hours per Resident per Day
2.50094
Expected LPN Staffing Hours per Resident per Day
0.61076
Expected RN Staffing Hours per Resident per Day
1.05112
Expected Total Nurse Staffing Hours per Resident per Day
4.16282
Adjusted CNA Staffing Hours per Resident per Day
2.13913
Adjusted LPN Staffing Hours per Resident per Day
1.11178
Adjusted RN Staffing Hours per Resident per Day
0.42288
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47943
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
147
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
74
Cycle 3 Total Health Score
221
Total Weighted Health Survey Score
82.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
Number of Fines
2
Total Amount of Fines in Dollars
3250
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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