Fairview Nursing Home - Hudson Nursing Home
General Information
UPDATEFederal Provider Number
305100
Provider Name
FAIRVIEW NURSING HOME
Provider Address
203 LOWELL ROAD
HUDSON, NH 3051
HUDSON, NH 3051
Provider Phone Number
6038825261
Provider SSA County
50
Provider County Name
Hillsborough
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERRIMAC MEDICAL INVESTORS, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.29821
Reported LPN Staffing Hours per Resident per Day
1.01905
Reported RN Staffing Hours per Resident per Day
1.53095
Reported Licensed Staffing Hours per Resident per Day
2.55000
Reported Total Nurse Staffing Hours per Resident per Day
5.84821
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11369
Expected CNA Staffing Hours per Resident per Day
2.37029
Expected LPN Staffing Hours per Resident per Day
0.64068
Expected RN Staffing Hours per Resident per Day
1.00521
Expected Total Nurse Staffing Hours per Resident per Day
4.01617
Adjusted CNA Staffing Hours per Resident per Day
3.41427
Adjusted LPN Staffing Hours per Resident per Day
1.32019
Adjusted RN Staffing Hours per Resident per Day
1.13800
Adjusted Total Nurse Staffing Hours per Resident per Day
5.86966
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-27
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
5
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
0
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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