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FAYETTE NURSING AND REHABILITATION CENTER, LLC

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FAYETTE NURSING AND REHABILITATION CENTER, LLC VS
Nursing Homes USA
General
City FAYETTEVILLE   0.1% Nursing Homes USA have FAYETTEVILLE
State attribute explanation WV   0.8% Nursing Homes USA have WV
Street 100 HRESAN BOULEVARD  
Zip Code 25840  
Phone 3045740770  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
60 
108.94
Total Number of Residents
55 
91.25
Percent of Occupied Beds
92 %
83.65 %
Health Survey Date 3/17/2011  
Fire Survey Date 3/17/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils Both  29.8% Nursing Homes USA have Both
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? Yes  31.3% Nursing Homes USA have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
11 
7.48
Staff Information
Number of Residents
55 
91.38
Number of RN Hours Per Resident Per Day
0.72 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.64 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.36 
1.59
Number of CNA Hours Per Resident Per Day
0.02 
5.49
Number Therapy Hours Per Resident Per Day
0.02 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 07/27/2011
date Of Correction: 08/26/2011 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 03/16/2011
date Of Correction: 06/15/2011 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 10/14/2010
date Of Correction: 11/05/2010 
Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 09/09/2010
date Of Correction: 10/15/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 02/09/2012
date Of Correction: 03/20/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 09/09/2010
date Of Correction: 10/15/2010 
Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 05/22/2009
date Of Correction: 07/09/2009 
Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 05/22/2009
date Of Correction: 07/09/2009 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 02/09/2012
date Of Correction: 03/20/2012 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Keep Accurate, Complete And Organized Clinical Records On Each Resident That Meet Professional Standards.
survey Date: 09/09/2010
date Of Correction: 10/15/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 02/09/2012
date Of Correction: 03/20/2012 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
22 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
7.5 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
6.6 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers 13.9 / 15.3 % 
Percent of long-stay residents who lose too much weight 12.8:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
1.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
10.4 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2.1 %
28.38 %
Percent of long-stay residents who were physically restrained
5.8 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
32 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
90.6 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
87.5 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
75.2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
20.1 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
4.4 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain 9.9:1 % 
Percent of long-stay high-risk residents with pressure ulcers
8.4 %
9.22 %
Percent of long-stay residents who lose too much weight
16.2 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
65.5 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
4.1 %
10.65 %
Percent of long-stay residents with a urinary tract infection
11 %
9.58 %
Percent of long-stay residents who have depressive symptoms
1.4 %
19.86 %
Percent of long-stay residents who were physically restrained
5.1 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain 22.2:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
91.5 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
85 %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
1.50 %
17.34 %

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