Way-fair Nursing & Rehab Center - Fairfield Nursing Home

General Information

UPDATE
Federal Provider Number
146000
Provider Name
WAY-FAIR NURSING & REHAB CENTER
Provider Address
305 N.W. 11TH STREET
FAIRFIELD, IL 62837
Provider Phone Number
(618) 847-8284
Provider SSA County
986
Provider County Name
Wayne
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAY-FAIR NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.19800
Reported LPN Staffing Hours per Resident per Day
0.41467
Reported RN Staffing Hours per Resident per Day
0.76200
Reported Licensed Staffing Hours per Resident per Day
1.17667
Reported Total Nurse Staffing Hours per Resident per Day
3.37467
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02467
Expected CNA Staffing Hours per Resident per Day
2.40917
Expected LPN Staffing Hours per Resident per Day
0.62679
Expected RN Staffing Hours per Resident per Day
0.97995
Expected Total Nurse Staffing Hours per Resident per Day
4.01591
Adjusted CNA Staffing Hours per Resident per Day
2.23863
Adjusted LPN Staffing Hours per Resident per Day
0.54911
Adjusted RN Staffing Hours per Resident per Day
0.58102
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38727
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
72.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
10
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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