Jewish Hm For The Elderly Fair - Fairfield Nursing Home

General Information

UPDATE
Federal Provider Number
75353
Provider Name
JEWISH HM FOR THE ELDERLY FAIR
Provider Address
175 JEFFERSON STREET
FAIRFIELD, CT 6825
Provider Phone Number
(203) 365-6400
Provider SSA County
0
Provider County Name
Fairfield
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
360
Number of Residents in Certified Beds
351
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
JEWISH HOME FOR THE ELDERLY OF FAIRFIELD COUNTY INCORPORATED
Date First Approved to Provide Medicare and Medicaid services
1991-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66852
Reported LPN Staffing Hours per Resident per Day
0.83946
Reported RN Staffing Hours per Resident per Day
0.67934
Reported Licensed Staffing Hours per Resident per Day
1.51880
Reported Total Nurse Staffing Hours per Resident per Day
4.18732
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08875
Expected CNA Staffing Hours per Resident per Day
2.53156
Expected LPN Staffing Hours per Resident per Day
0.63893
Expected RN Staffing Hours per Resident per Day
0.95878
Expected Total Nurse Staffing Hours per Resident per Day
4.12927
Adjusted CNA Staffing Hours per Resident per Day
2.58645
Adjusted LPN Staffing Hours per Resident per Day
1.09050
Adjusted RN Staffing Hours per Resident per Day
0.52942
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08756
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
9
Number of Substantiated Complaints
2
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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