Fayette Health And Rehabilitation Center - Baltimore Nursing Home
General Information
UPDATEFederal Provider Number
215183
Provider Name
FAYETTE HEALTH AND REHABILITATION CENTER
Provider Address
1217 WEST FAYETTE STREET
BALTIMORE, MD 21223
BALTIMORE, MD 21223
Provider Phone Number
4107273947
Provider SSA County
30
Provider County Name
Baltimore City
Ownership Type
For profit - Corporation
Number of Certified Beds
156
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAYETTE LEASING CO., LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.12519
Reported LPN Staffing Hours per Resident per Day
1.01704
Reported RN Staffing Hours per Resident per Day
0.45185
Reported Licensed Staffing Hours per Resident per Day
1.46889
Reported Total Nurse Staffing Hours per Resident per Day
3.59408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04222
Expected CNA Staffing Hours per Resident per Day
2.11269
Expected LPN Staffing Hours per Resident per Day
0.55435
Expected RN Staffing Hours per Resident per Day
0.81491
Expected Total Nurse Staffing Hours per Resident per Day
3.48195
Adjusted CNA Staffing Hours per Resident per Day
2.46822
Adjusted LPN Staffing Hours per Resident per Day
1.52276
Adjusted RN Staffing Hours per Resident per Day
0.41431
Adjusted Total Nurse Staffing Hours per Resident per Day
4.16071
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-21
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
18
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
15
Number of Substantiated Complaints
10
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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