Fairfield Post-acute Rehab - Fairfield Nursing Home
General Information
Update InformationReport Incorrect Information
Federal Provider Number
55014
Provider Name
FAIRFIELD POST-ACUTE REHAB
Provider Address
1255 TRAVIS BLVD
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Provider Phone Number
(707) 425-0623
Provider SSA County
580
Provider County Name
Solano
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
99
Number of Residents in Certified Beds
95
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRFIELD HEALTH CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1971-12-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.69947
Reported LPN Staffing Hours per Resident per Day
0.62632
Reported RN Staffing Hours per Resident per Day
1.41737
Reported Licensed Staffing Hours per Resident per Day
2.04368
Reported Total Nurse Staffing Hours per Resident per Day
4.74316
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25263
Expected CNA Staffing Hours per Resident per Day
2.76933
Expected LPN Staffing Hours per Resident per Day
0.71188
Expected RN Staffing Hours per Resident per Day
1.14066
Expected Total Nurse Staffing Hours per Resident per Day
4.62187
Adjusted CNA Staffing Hours per Resident per Day
2.39180
Adjusted LPN Staffing Hours per Resident per Day
0.73024
Adjusted RN Staffing Hours per Resident per Day
0.92846
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13668
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-02-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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