Fayette Nursing And Rehabilitation Center, Llc - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
515153
Provider Name
FAYETTE NURSING AND REHABILITATION CENTER, LLC
Provider Address
100 HRESAN BOULEVARD
FAYETTEVILLE, WV 25840
FAYETTEVILLE, WV 25840
Provider Phone Number
(304) 574-0770
Provider SSA County
90
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAYETTE NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1997-07-16
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.06091
Reported LPN Staffing Hours per Resident per Day
0.86818
Reported RN Staffing Hours per Resident per Day
0.67909
Reported Licensed Staffing Hours per Resident per Day
1.54727
Reported Total Nurse Staffing Hours per Resident per Day
3.60818
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13909
Expected CNA Staffing Hours per Resident per Day
2.51835
Expected LPN Staffing Hours per Resident per Day
0.70059
Expected RN Staffing Hours per Resident per Day
1.27222
Expected Total Nurse Staffing Hours per Resident per Day
4.49116
Adjusted CNA Staffing Hours per Resident per Day
2.00800
Adjusted LPN Staffing Hours per Resident per Day
1.02855
Adjusted RN Staffing Hours per Resident per Day
0.39884
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23841
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-23
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
21
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2013-02-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2011-03-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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