Fayetteville Health And Rehabilitation Center - Fayetteville Nursing Home
General Information
UPDATEFederal Provider Number
445320
Provider Name
FAYETTEVILLE HEALTH AND REHABILITATION CENTER
Provider Address
4081 THORNTON TAYLOR PARKWAY
FAYETTEVILLE, TN 37334
FAYETTEVILLE, TN 37334
Provider Phone Number
(931) 433-9973
Provider SSA County
510
Provider County Name
Lincoln
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAYETTEVILLE HEALTHCARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-10-01
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.80000
Reported LPN Staffing Hours per Resident per Day
0.87803
Reported RN Staffing Hours per Resident per Day
0.39848
Reported Licensed Staffing Hours per Resident per Day
1.27652
Reported Total Nurse Staffing Hours per Resident per Day
3.07651
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00833
Expected CNA Staffing Hours per Resident per Day
2.41378
Expected LPN Staffing Hours per Resident per Day
0.58605
Expected RN Staffing Hours per Resident per Day
0.85687
Expected Total Nurse Staffing Hours per Resident per Day
3.85670
Adjusted CNA Staffing Hours per Resident per Day
1.82977
Adjusted LPN Staffing Hours per Resident per Day
1.24352
Adjusted RN Staffing Hours per Resident per Day
0.34748
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21547
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2012-01-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2010-10-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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Nursiong Homes Nearby
Lincoln Donalson Care Centers
501 Amana Avenue |
FAYETTEVILLE TN 37334 | 1.5 miles away