Fairmount Homes - Ephrata Nursing Home

General Information

UPDATE
Federal Provider Number
395805
Provider Name
FAIRMOUNT HOMES
Provider Address
333 WHEAT RIDGE DRIVE
EPHRATA, PA 17522
Provider Phone Number
7173541800
Provider SSA County
440
Provider County Name
Lancaster
Ownership Type
Non profit - Corporation
Number of Certified Beds
114
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRMOUNT HOMES
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.51468
Reported LPN Staffing Hours per Resident per Day
0.82569
Reported RN Staffing Hours per Resident per Day
0.66972
Reported Licensed Staffing Hours per Resident per Day
1.49541
Reported Total Nurse Staffing Hours per Resident per Day
4.01009
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05092
Expected CNA Staffing Hours per Resident per Day
2.73099
Expected LPN Staffing Hours per Resident per Day
0.59052
Expected RN Staffing Hours per Resident per Day
0.91496
Expected Total Nurse Staffing Hours per Resident per Day
4.23647
Adjusted CNA Staffing Hours per Resident per Day
2.25935
Adjusted LPN Staffing Hours per Resident per Day
1.16055
Adjusted RN Staffing Hours per Resident per Day
0.54692
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81550
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-01-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-12-16
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
16.00000
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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