Fairview Healthcare Center Of Fairfield - Southport Nursing Home

General Information

UPDATE
Federal Provider Number
75200
Provider Name
FAIRVIEW HEALTHCARE CENTER OF FAIRFIELD
Provider Address
930 MILL HILL TERR
SOUTHPORT, CT 6890
Provider Phone Number
2032597894
Provider SSA County
0
Provider County Name
Fairfield
Ownership Type
For profit - Partnership
Number of Certified Beds
120
Number of Residents in Certified Beds
108
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRVIEW HEALTH OF SOUTHPORT LLC
Date First Approved to Provide Medicare and Medicaid services
1977-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.76528
Reported LPN Staffing Hours per Resident per Day
0.92176
Reported RN Staffing Hours per Resident per Day
0.80185
Reported Licensed Staffing Hours per Resident per Day
1.72361
Reported Total Nurse Staffing Hours per Resident per Day
4.48889
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16898
Expected CNA Staffing Hours per Resident per Day
2.29208
Expected LPN Staffing Hours per Resident per Day
0.62218
Expected RN Staffing Hours per Resident per Day
0.89463
Expected Total Nurse Staffing Hours per Resident per Day
3.80889
Adjusted CNA Staffing Hours per Resident per Day
2.96026
Adjusted LPN Staffing Hours per Resident per Day
1.22965
Adjusted RN Staffing Hours per Resident per Day
0.66971
Adjusted Total Nurse Staffing Hours per Resident per Day
4.75054
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-02-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-01-14
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
8
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2011-11-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
260
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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