Tri County Extended Care Center - Fairfield Nursing Home
General Information
UPDATEFederal Provider Number
365396
Provider Name
TRI COUNTY EXTENDED CARE CENTER
Provider Address
5200 CAMELOT DRIVE
FAIRFIELD, OH 45014
FAIRFIELD, OH 45014
Provider Phone Number
5138298100
Provider SSA County
80
Provider County Name
Butler
Ownership Type
For profit - Corporation
Number of Certified Beds
258
Number of Residents in Certified Beds
199
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TRI-COUNTY EXTENDED CARE CENTER
Date First Approved to Provide Medicare and Medicaid services
1978-11-20
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
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
2.45930
Reported LPN Staffing Hours per Resident per Day
0.92739
Reported RN Staffing Hours per Resident per Day
0.67613
Reported Licensed Staffing Hours per Resident per Day
1.60352
Reported Total Nurse Staffing Hours per Resident per Day
4.06282
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02437
Expected CNA Staffing Hours per Resident per Day
2.48424
Expected LPN Staffing Hours per Resident per Day
0.76020
Expected RN Staffing Hours per Resident per Day
1.19945
Expected Total Nurse Staffing Hours per Resident per Day
4.44389
Adjusted CNA Staffing Hours per Resident per Day
2.42907
Adjusted LPN Staffing Hours per Resident per Day
1.01254
Adjusted RN Staffing Hours per Resident per Day
0.42120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68524
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
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
20
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Parkside Nursing And Rehabilitation Center
908 Symmes Road |
FAIRFIELD OH 45014 | 1.5 miles away
Heartland Of Woodridge
3801 Woodridge Boulevard |
FAIRFIELD OH 45014 | 2.7 miles away
Wellington Manor
2923 Hamilton Mason Road |
HAMILTON OH 45011 | 3.1 miles away
Glen Meadows
3472 Hamilton Mason Road |
HAMILTON OH 45011 | 3.4 miles away
Hillandale Health Care
4195 Hamilton Mason Road |
HAMILTON OH 45011 | 3.8 miles away
Residence At Huntington Court
350 Hancock Avenue |
HAMILTON OH 45011 | 3.8 miles away
Birchwood Care Center
4070 Hamilton Mason Road |
HAMILTON OH 45011 | 3.9 miles away
Butler County Care Facility
1800 Princeton Road |
HAMILTON OH 45011 | 4.1 miles away
Berkeley Square Retirement Cen
100 Berkeley Drive |
HAMILTON OH 45013 | 6.1 miles away
Diversicare Of Bradford Place
1302 Millville Avenue |
HAMILTON OH 45013 | 6.2 miles away
Heritagespring Healthcare Center Of West Chester
7235 Heritagespring Drive |
WEST CHESTER OH 45069 | 6.7 miles away
Westover Retirement Community
855 Stahlheber Road |
HAMILTON OH 45013 | 6.7 miles away
Hawthorn Glen Nursing Center
5414 Hankins Road |
MIDDLETOWN OH 45044 | 8.5 miles away
Golden Years Nursing Center
2436 Old Oxford Road |
HAMILTON OH 45013 | 9 miles away
Chesterwood Village
8073 Tylersville Road |
WEST CHESTER OH 45069 | 9.4 miles away
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