Oklahoma Nursing Homes >> Fairfax Nursing Homes >> Fairfax Manor

Fairfax Manor - Fairfax Nursing Home

General Information

UPDATE
Federal Provider Number
375467
Provider Name
FAIRFAX MANOR
Provider Address
282 COUNTY ROAD 6300
FAIRFAX, OK 74637
Provider Phone Number
9186423234
Provider SSA County
560
Provider County Name
Osage
Ownership Type
For profit - Individual
Number of Certified Beds
60
Number of Residents in Certified Beds
30
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRFAX MANOR LLC
Date First Approved to Provide Medicare and Medicaid services
2004-06-28
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
3
Health Inspection Rating Footnote
QM Rating
1
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
3.36667
Reported LPN Staffing Hours per Resident per Day
1.19333
Reported RN Staffing Hours per Resident per Day
1.02333
Reported Licensed Staffing Hours per Resident per Day
2.21667
Reported Total Nurse Staffing Hours per Resident per Day
5.58333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00500
Expected CNA Staffing Hours per Resident per Day
2.04881
Expected LPN Staffing Hours per Resident per Day
0.65378
Expected RN Staffing Hours per Resident per Day
0.94849
Expected Total Nurse Staffing Hours per Resident per Day
3.65107
Adjusted CNA Staffing Hours per Resident per Day
4.03200
Adjusted LPN Staffing Hours per Resident per Day
1.51499
Adjusted RN Staffing Hours per Resident per Day
0.80616
Adjusted Total Nurse Staffing Hours per Resident per Day
6.16417
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
145
Cycle 2 Standard Health Survey Date
2013-02-06
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2011-12-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
101.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
5674
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

Nursiong Homes Nearby

Pawhuska Nursing Home, Llc

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