Fairview Nursing Center - Du Quoin Nursing Home
General Information
UPDATEFederal Provider Number
146032
Provider Name
FAIRVIEW NURSING CENTER
Provider Address
602 EAST JACKSON
DU QUOIN, IL 62832
DU QUOIN, IL 62832
Provider Phone Number
(618) 542-3441
Provider SSA County
810
Provider County Name
Perry
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
76
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JAMESTOWN MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2002-08-15
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
4
Health Inspection Rating Footnote
QM Rating
2
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
2.28636
Reported LPN Staffing Hours per Resident per Day
0.31818
Reported RN Staffing Hours per Resident per Day
0.59636
Reported Licensed Staffing Hours per Resident per Day
0.91455
Reported Total Nurse Staffing Hours per Resident per Day
3.20090
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00636
Expected CNA Staffing Hours per Resident per Day
2.29247
Expected LPN Staffing Hours per Resident per Day
0.59918
Expected RN Staffing Hours per Resident per Day
0.93413
Expected Total Nurse Staffing Hours per Resident per Day
3.82577
Adjusted CNA Staffing Hours per Resident per Day
2.44716
Adjusted LPN Staffing Hours per Resident per Day
0.44075
Adjusted RN Staffing Hours per Resident per Day
0.47702
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37253
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
20
Cycle 1 Standard Survey Health Date
2014-08-29
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
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
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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Nursiong Homes Nearby
Duquoin Nursing And Rehab
514 East Jackson St |
DU QUOIN IL 62832 | 0.1 mile away
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