John Edward Harter Nursing Center - Fairfax Nursing Home

General Information

UPDATE
Federal Provider Number
425103
Provider Name
JOHN EDWARD HARTER NURSING CENTER
Provider Address
185 REVOLUTIONARY TRAIL
FAIRFAX, SC 29827
Provider Phone Number
(803) 632-3334
Provider SSA County
20
Provider County Name
Allendale
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
44
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ALLENDALE COUNTY HOSPITAL BOARD
Date First Approved to Provide Medicare and Medicaid services
1976-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.60172
Reported LPN Staffing Hours per Resident per Day
0.99655
Reported RN Staffing Hours per Resident per Day
0.83621
Reported Licensed Staffing Hours per Resident per Day
1.83276
Reported Total Nurse Staffing Hours per Resident per Day
5.43448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.70253
Expected LPN Staffing Hours per Resident per Day
0.61581
Expected RN Staffing Hours per Resident per Day
0.79677
Expected Total Nurse Staffing Hours per Resident per Day
4.11511
Adjusted CNA Staffing Hours per Resident per Day
3.27010
Adjusted LPN Staffing Hours per Resident per Day
1.34318
Adjusted RN Staffing Hours per Resident per Day
0.78418
Adjusted Total Nurse Staffing Hours per Resident per Day
5.32327
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-09-30
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-05-02
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-02-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
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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