Fairhaven Healthcare Center - Lowell Nursing Home
General Information
UPDATEFederal Provider Number
225458
Provider Name
FAIRHAVEN HEALTHCARE CENTER
Provider Address
476 VARNUM AVENUE
LOWELL, MA 1854
LOWELL, MA 1854
Provider Phone Number
(978) 458-3388
Provider SSA County
90
Provider County Name
Middlesex
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
169
Number of Residents in Certified Beds
157
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRHAVEN HEALTHCARE CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1990-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.18917
Reported LPN Staffing Hours per Resident per Day
0.83089
Reported RN Staffing Hours per Resident per Day
0.65478
Reported Licensed Staffing Hours per Resident per Day
1.48567
Reported Total Nurse Staffing Hours per Resident per Day
3.67484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08631
Expected CNA Staffing Hours per Resident per Day
2.45249
Expected LPN Staffing Hours per Resident per Day
0.64042
Expected RN Staffing Hours per Resident per Day
1.01180
Expected Total Nurse Staffing Hours per Resident per Day
4.10471
Adjusted CNA Staffing Hours per Resident per Day
2.19025
Adjusted LPN Staffing Hours per Resident per Day
1.07685
Adjusted RN Staffing Hours per Resident per Day
0.48355
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60876
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
12
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-04-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-02-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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