Fair Oaks Health Systems, Llc - Jamestown Nursing Home
General Information
UPDATEFederal Provider Number
185286
Provider Name
FAIR OAKS HEALTH SYSTEMS, LLC
Provider Address
1 SPARKS AVENUE
JAMESTOWN, KY 42629
JAMESTOWN, KY 42629
Provider Phone Number
2703432101
Provider SSA County
976
Provider County Name
Russell
Ownership Type
For profit - Partnership
Number of Certified Beds
114
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIR OAKS HEALTH SYSTEMS LLC
Date First Approved to Provide Medicare and Medicaid services
1991-08-13
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
4
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
2.73407
Reported LPN Staffing Hours per Resident per Day
0.86416
Reported RN Staffing Hours per Resident per Day
0.70398
Reported Licensed Staffing Hours per Resident per Day
1.56814
Reported Total Nurse Staffing Hours per Resident per Day
4.30221
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01283
Expected CNA Staffing Hours per Resident per Day
2.62340
Expected LPN Staffing Hours per Resident per Day
0.63715
Expected RN Staffing Hours per Resident per Day
0.99552
Expected Total Nurse Staffing Hours per Resident per Day
4.25607
Adjusted CNA Staffing Hours per Resident per Day
2.55721
Adjusted LPN Staffing Hours per Resident per Day
1.12573
Adjusted RN Staffing Hours per Resident per Day
0.52838
Adjusted Total Nurse Staffing Hours per Resident per Day
4.07460
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-07-18
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
16.66700
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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