Fairview Care Center East - Salt Lake City Nursing Home
General Information
UPDATEFederal Provider Number
46A058
Provider Name
FAIRVIEW CARE CENTER EAST
Provider Address
455 SOUTH 900 EAST
SALT LAKE CITY, UT 84102
SALT LAKE CITY, UT 84102
Provider Phone Number
(801) 355-6891
Provider SSA County
170
Provider County Name
Salt Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
36
Number of Residents in Certified Beds
34
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1991-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.48971
Reported LPN Staffing Hours per Resident per Day
0.54118
Reported RN Staffing Hours per Resident per Day
0.58235
Reported Licensed Staffing Hours per Resident per Day
1.12353
Reported Total Nurse Staffing Hours per Resident per Day
3.61324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.69483
Expected LPN Staffing Hours per Resident per Day
0.66194
Expected RN Staffing Hours per Resident per Day
1.00619
Expected Total Nurse Staffing Hours per Resident per Day
4.36296
Adjusted CNA Staffing Hours per Resident per Day
2.26694
Adjusted LPN Staffing Hours per Resident per Day
0.67858
Adjusted RN Staffing Hours per Resident per Day
0.43246
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33824
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-15
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-10-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2012-10-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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