Good Shepherd Fairview Home - Binghamton Nursing Home
General Information
UPDATEFederal Provider Number
335527
Provider Name
GOOD SHEPHERD FAIRVIEW HOME
Provider Address
80 FAIRVIEW AVENUE
BINGHAMTON, NY 13904
BINGHAMTON, NY 13904
Provider Phone Number
(607) 724-2477
Provider SSA County
30
Provider County Name
Broome
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GOOD SHEPHERD-FAIRVIEW HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1976-07-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.95306
Reported LPN Staffing Hours per Resident per Day
1.67143
Reported RN Staffing Hours per Resident per Day
0.57959
Reported Licensed Staffing Hours per Resident per Day
2.25102
Reported Total Nurse Staffing Hours per Resident per Day
5.20408
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16020
Expected CNA Staffing Hours per Resident per Day
2.63422
Expected LPN Staffing Hours per Resident per Day
0.66382
Expected RN Staffing Hours per Resident per Day
1.13735
Expected Total Nurse Staffing Hours per Resident per Day
4.43539
Adjusted CNA Staffing Hours per Resident per Day
2.75069
Adjusted LPN Staffing Hours per Resident per Day
2.08986
Adjusted RN Staffing Hours per Resident per Day
0.38077
Adjusted Total Nurse Staffing Hours per Resident per Day
4.72949
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
48
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-01-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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