Fairfield Nursing & Rehabilitation Center - Fairfield Nursing Home
General Information
UPDATEFederal Provider Number
676123
Provider Name
FAIRFIELD NURSING & REHABILITATION CENTER
Provider Address
420 MOODY ST
FAIRFIELD, TX 75840
FAIRFIELD, TX 75840
Provider Phone Number
(903) 389-1236
Provider SSA County
540
Provider County Name
Freestone
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRFIELD I ENTERPRISES, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-12-14
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
3
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
2.17333
Reported LPN Staffing Hours per Resident per Day
1.23533
Reported RN Staffing Hours per Resident per Day
0.62067
Reported Licensed Staffing Hours per Resident per Day
1.85600
Reported Total Nurse Staffing Hours per Resident per Day
4.02933
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01533
Expected CNA Staffing Hours per Resident per Day
2.51501
Expected LPN Staffing Hours per Resident per Day
0.64880
Expected RN Staffing Hours per Resident per Day
1.08822
Expected Total Nurse Staffing Hours per Resident per Day
4.25202
Adjusted CNA Staffing Hours per Resident per Day
2.12035
Adjusted LPN Staffing Hours per Resident per Day
1.58034
Adjusted RN Staffing Hours per Resident per Day
0.42617
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81979
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-04-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
128
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
1300
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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