Fairview Healthcare Residence Ltd - Fairfield Nursing Home
General Information
UPDATEFederal Provider Number
675311
Provider Name
FAIRVIEW HEALTHCARE RESIDENCE LTD
Provider Address
601 E REUNION ST
FAIRFIELD, TX 75840
FAIRFIELD, TX 75840
Provider Phone Number
(903) 389-4121
Provider SSA County
540
Provider County Name
Freestone
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
90
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRVIEW HEALTHCARE RESIDENCE LTD.
Date First Approved to Provide Medicare and Medicaid services
1994-03-30
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
3.15000
Reported LPN Staffing Hours per Resident per Day
0.96000
Reported RN Staffing Hours per Resident per Day
0.45700
Reported Licensed Staffing Hours per Resident per Day
1.41700
Reported Total Nurse Staffing Hours per Resident per Day
4.56700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01600
Expected CNA Staffing Hours per Resident per Day
2.11746
Expected LPN Staffing Hours per Resident per Day
0.54942
Expected RN Staffing Hours per Resident per Day
0.91822
Expected Total Nurse Staffing Hours per Resident per Day
3.58509
Adjusted CNA Staffing Hours per Resident per Day
3.65021
Adjusted LPN Staffing Hours per Resident per Day
1.45026
Adjusted RN Staffing Hours per Resident per Day
0.37188
Adjusted Total Nurse Staffing Hours per Resident per Day
5.13491
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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