Fairacres Manor, Inc. - Greeley Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
65211
Provider Name
FAIRACRES MANOR, INC.
Provider Address
1700 18TH AVENUE
GREELEY, CO 80631
GREELEY, CO 80631
Provider Phone Number
(970) 353-3370
Provider SSA County
610
Provider County Name
Weld
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRACRES MANOR, INC
Date First Approved to Provide Medicare and Medicaid services
1985-08-01
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
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
2.65000
Reported LPN Staffing Hours per Resident per Day
0.71682
Reported RN Staffing Hours per Resident per Day
0.74206
Reported Licensed Staffing Hours per Resident per Day
1.45888
Reported Total Nurse Staffing Hours per Resident per Day
4.10888
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05327
Expected CNA Staffing Hours per Resident per Day
2.49601
Expected LPN Staffing Hours per Resident per Day
0.60294
Expected RN Staffing Hours per Resident per Day
0.99444
Expected Total Nurse Staffing Hours per Resident per Day
4.09338
Adjusted CNA Staffing Hours per Resident per Day
2.60508
Adjusted LPN Staffing Hours per Resident per Day
0.98677
Adjusted RN Staffing Hours per Resident per Day
0.55757
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04616
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-03-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
41.33300
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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