Fayetteville Health And Rehabilitation Center - Fayetteville Nursing Home

General Information

UPDATE
Federal Provider Number
45220
Provider Name
FAYETTEVILLE HEALTH AND REHABILITATION CENTER
Provider Address
3100 OLD MISSOURI RD
FAYETTEVILLE, AR 72703
Provider Phone Number
(479) 521-4353
Provider SSA County
710
Provider County Name
Washington
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTHPORT HEALTH SERVICES OF ARKANSAS, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.55240
Reported LPN Staffing Hours per Resident per Day
0.73894
Reported RN Staffing Hours per Resident per Day
0.39808
Reported Licensed Staffing Hours per Resident per Day
1.13702
Reported Total Nurse Staffing Hours per Resident per Day
3.68942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06875
Expected CNA Staffing Hours per Resident per Day
2.48809
Expected LPN Staffing Hours per Resident per Day
0.58264
Expected RN Staffing Hours per Resident per Day
0.84536
Expected Total Nurse Staffing Hours per Resident per Day
3.91609
Adjusted CNA Staffing Hours per Resident per Day
2.51712
Adjusted LPN Staffing Hours per Resident per Day
1.05266
Adjusted RN Staffing Hours per Resident per Day
0.35185
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79758
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
379
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
379
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-07-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2013-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
212.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
25936
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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