Fairburn Health Care Ctr, Inc - Fairburn Nursing Home
General Information
UPDATEFederal Provider Number
115298
Provider Name
FAIRBURN HEALTH CARE CTR, INC
Provider Address
178 WEST CAMPBELLTON STREET
FAIRBURN, GA 30213
FAIRBURN, GA 30213
Provider Phone Number
(770) 964-1320
Provider SSA County
470
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRBURN HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1982-05-07
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.89259
Reported LPN Staffing Hours per Resident per Day
1.24198
Reported RN Staffing Hours per Resident per Day
0.63457
Reported Licensed Staffing Hours per Resident per Day
1.87654
Reported Total Nurse Staffing Hours per Resident per Day
4.76914
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06358
Expected CNA Staffing Hours per Resident per Day
2.45892
Expected LPN Staffing Hours per Resident per Day
0.57350
Expected RN Staffing Hours per Resident per Day
0.88942
Expected Total Nurse Staffing Hours per Resident per Day
3.92184
Adjusted CNA Staffing Hours per Resident per Day
2.88645
Adjusted LPN Staffing Hours per Resident per Day
1.79746
Adjusted RN Staffing Hours per Resident per Day
0.53310
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90176
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
24
Cycle 1 Standard Survey Health Date
2014-08-14
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2012-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2011-06-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
24.66700
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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