Maryland Nursing Homes >> Sykesville Nursing Homes >> Fairhaven, Inc.

Fairhaven, Inc. - Sykesville Nursing Home

General Information

UPDATE
Federal Provider Number
215130
Provider Name
FAIRHAVEN, INC.
Provider Address
7200 THIRD AVENUE
SYKESVILLE, MD 21784
Provider Phone Number
4107958800
Provider SSA County
60
Provider County Name
Carroll
Ownership Type
Non profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
66
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
FAIRHAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-01-05
Continuing Care Retirement Community
Y
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
4
Health Inspection Rating Footnote
QM Rating
5
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
2.44773
Reported LPN Staffing Hours per Resident per Day
0.71515
Reported RN Staffing Hours per Resident per Day
1.20379
Reported Licensed Staffing Hours per Resident per Day
1.91894
Reported Total Nurse Staffing Hours per Resident per Day
4.36667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10833
Expected CNA Staffing Hours per Resident per Day
2.47055
Expected LPN Staffing Hours per Resident per Day
0.55910
Expected RN Staffing Hours per Resident per Day
0.89700
Expected Total Nurse Staffing Hours per Resident per Day
3.92666
Adjusted CNA Staffing Hours per Resident per Day
2.43103
Adjusted LPN Staffing Hours per Resident per Day
1.06165
Adjusted RN Staffing Hours per Resident per Day
1.00276
Adjusted Total Nurse Staffing Hours per Resident per Day
4.48259
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-20
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
7
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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