Royal Of Fairhaven Nursing Center - Fairhaven Nursing Home
General Information
UPDATEFederal Provider Number
225117
Provider Name
ROYAL OF FAIRHAVEN NURSING CENTER
Provider Address
184 MAIN STREET
FAIRHAVEN, MA 2719
FAIRHAVEN, MA 2719
Provider Phone Number
(508) 997-3193
Provider SSA County
20
Provider County Name
Bristol
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
100
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1970-11-01
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
2
QM Rating Footnote
Staffing Rating
2
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
2.05000
Reported LPN Staffing Hours per Resident per Day
0.92750
Reported RN Staffing Hours per Resident per Day
0.45500
Reported Licensed Staffing Hours per Resident per Day
1.38250
Reported Total Nurse Staffing Hours per Resident per Day
3.43250
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05875
Expected CNA Staffing Hours per Resident per Day
2.52151
Expected LPN Staffing Hours per Resident per Day
0.62557
Expected RN Staffing Hours per Resident per Day
1.00421
Expected Total Nurse Staffing Hours per Resident per Day
4.15129
Adjusted CNA Staffing Hours per Resident per Day
1.99487
Adjusted LPN Staffing Hours per Resident per Day
1.23059
Adjusted RN Staffing Hours per Resident per Day
0.33855
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33296
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-12-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
12.66700
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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