Fairview Manor - Fairview Nursing Home
General Information
UPDATEFederal Provider Number
395572
Provider Name
FAIRVIEW MANOR
Provider Address
900 MANCHESTER ROAD
FAIRVIEW, PA 16415
FAIRVIEW, PA 16415
Provider Phone Number
(814) 838-4822
Provider SSA County
320
Provider County Name
Erie
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HCF OF FAIRVIEW, INC.
Date First Approved to Provide Medicare and Medicaid services
1983-05-11
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
2.12009
Reported LPN Staffing Hours per Resident per Day
0.81795
Reported RN Staffing Hours per Resident per Day
0.66239
Reported Licensed Staffing Hours per Resident per Day
1.48034
Reported Total Nurse Staffing Hours per Resident per Day
3.60043
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06026
Expected CNA Staffing Hours per Resident per Day
2.56848
Expected LPN Staffing Hours per Resident per Day
0.71211
Expected RN Staffing Hours per Resident per Day
1.30400
Expected Total Nurse Staffing Hours per Resident per Day
4.58459
Adjusted CNA Staffing Hours per Resident per Day
2.02535
Adjusted LPN Staffing Hours per Resident per Day
0.95336
Adjusted RN Staffing Hours per Resident per Day
0.37955
Adjusted Total Nurse Staffing Hours per Resident per Day
3.16560
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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