Fairfield Village Rehabilitation - Layton Nursing Home

General Information

UPDATE
Federal Provider Number
465174
Provider Name
FAIRFIELD VILLAGE REHABILITATION
Provider Address
1203 NORTH FAIRFIELD ROAD
LAYTON, UT 84041
Provider Phone Number
8018070111
Provider SSA County
50
Provider County Name
Davis
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
37
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2010-12-02
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
5
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
3.24324
Reported LPN Staffing Hours per Resident per Day
0.34054
Reported RN Staffing Hours per Resident per Day
1.95000
Reported Licensed Staffing Hours per Resident per Day
2.29054
Reported Total Nurse Staffing Hours per Resident per Day
5.53378
Reported Physical Therapist Staffing Hours per Resident Per Day
1.23514
Expected CNA Staffing Hours per Resident per Day
2.41748
Expected LPN Staffing Hours per Resident per Day
0.75703
Expected RN Staffing Hours per Resident per Day
1.61252
Expected Total Nurse Staffing Hours per Resident per Day
4.78703
Adjusted CNA Staffing Hours per Resident per Day
3.29184
Adjusted LPN Staffing Hours per Resident per Day
0.37337
Adjusted RN Staffing Hours per Resident per Day
0.90358
Adjusted Total Nurse Staffing Hours per Resident per Day
4.65970
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-11-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
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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