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Fairway Oaks Center - Tampa Nursing Home

General Information

UPDATE
Federal Provider Number
105305
Provider Name
FAIRWAY OAKS CENTER
Provider Address
13806 N 46TH ST
TAMPA, FL 33613
Provider Phone Number
(813) 977-4214
Provider SSA County
280
Provider County Name
Hillsborough
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAIRWAY OAKS CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
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
2.90556
Reported LPN Staffing Hours per Resident per Day
0.88718
Reported RN Staffing Hours per Resident per Day
0.39530
Reported Licensed Staffing Hours per Resident per Day
1.28248
Reported Total Nurse Staffing Hours per Resident per Day
4.18804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08974
Expected CNA Staffing Hours per Resident per Day
2.64860
Expected LPN Staffing Hours per Resident per Day
0.62587
Expected RN Staffing Hours per Resident per Day
0.92448
Expected Total Nurse Staffing Hours per Resident per Day
4.19895
Adjusted CNA Staffing Hours per Resident per Day
2.69175
Adjusted LPN Staffing Hours per Resident per Day
1.17653
Adjusted RN Staffing Hours per Resident per Day
0.31950
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02042
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
311
Cycle 1 Standard Survey Health Date
2014-06-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
311
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-03-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
173.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
62270
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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