Fairlane Senior Care And Rehab Center - Detroit Nursing Home
General Information
UPDATEFederal Provider Number
235445
Provider Name
FAIRLANE SENIOR CARE AND REHAB CENTER
Provider Address
15750 JOY
DETROIT, MI 48228
DETROIT, MI 48228
Provider Phone Number
3132736850
Provider SSA County
810
Provider County Name
Wayne
Ownership Type
For profit - Corporation
Number of Certified Beds
205
Number of Residents in Certified Beds
188
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRLANE SENIOR CARE AND REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1986-04-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.44149
Reported LPN Staffing Hours per Resident per Day
1.03324
Reported RN Staffing Hours per Resident per Day
0.47420
Reported Licensed Staffing Hours per Resident per Day
1.50745
Reported Total Nurse Staffing Hours per Resident per Day
3.94893
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04601
Expected CNA Staffing Hours per Resident per Day
2.35591
Expected LPN Staffing Hours per Resident per Day
0.66833
Expected RN Staffing Hours per Resident per Day
1.05045
Expected Total Nurse Staffing Hours per Resident per Day
4.07469
Adjusted CNA Staffing Hours per Resident per Day
2.54283
Adjusted LPN Staffing Hours per Resident per Day
1.28319
Adjusted RN Staffing Hours per Resident per Day
0.33731
Adjusted Total Nurse Staffing Hours per Resident per Day
3.90649
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-12
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
18
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2012-11-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
59.33300
Number of Facility Reported Incidents
8
Number of Substantiated Complaints
16
Number of Fines
2
Total Amount of Fines in Dollars
29088
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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