Greenfield Care Center Of Fairfield - Fairfield Nursing Home
General Information
UPDATEFederal Provider Number
55189
Provider Name
GREENFIELD CARE CENTER OF FAIRFIELD
Provider Address
1260 TRAVIS BLVD
FAIRFIELD, CA 94533
FAIRFIELD, CA 94533
Provider Phone Number
(707) 425-0669
Provider SSA County
580
Provider County Name
Solano
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GREENFIELD CARE CENTER OF FAIRFIELD
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.61216
Reported LPN Staffing Hours per Resident per Day
0.96216
Reported RN Staffing Hours per Resident per Day
0.54054
Reported Licensed Staffing Hours per Resident per Day
1.50270
Reported Total Nurse Staffing Hours per Resident per Day
4.11486
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07230
Expected CNA Staffing Hours per Resident per Day
2.45083
Expected LPN Staffing Hours per Resident per Day
0.62784
Expected RN Staffing Hours per Resident per Day
0.94431
Expected Total Nurse Staffing Hours per Resident per Day
4.02299
Adjusted CNA Staffing Hours per Resident per Day
2.61521
Adjusted LPN Staffing Hours per Resident per Day
1.27196
Adjusted RN Staffing Hours per Resident per Day
0.42771
Adjusted Total Nurse Staffing Hours per Resident per Day
4.12295
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-12-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
8
Cycle 2 Standard Health Survey Date
2014-06-13
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2014-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
5
Number of Fines
2
Total Amount of Fines in Dollars
21000
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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