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Detailed information-FAIR HAVENS CHRISTIAN VILLAGE

This is the detailed information about FAIR HAVENS CHRISTIAN VILLAGE, including its zip code, address, phone, federal provider number, state, overall rating, etc.

Federal Provider Number: 145422
Provider State: IL
Provider Zip Code: 62521
Overall Rating: 1
Ownership Type: Non profit - Corporation
Number of Substantiated Complaints: 20
Provider Phone Number: 2174292551
Provider City: DECATUR
Provider SSA County Code: 660
Provider County Name: Macon
Provider Address: 1790 SOUTH FAIRVIEW AVENUE
Number of Certified Beds: 154
Number of Residents in Certified Beds: 126.1
Provider Type: Medicare and Medicaid
Provider Resides in Hospital: N
Date First Approved to Provide Medicare and Medicaid services: 1981-07-01
Continuing Care Retirement Community: Y
Special Focus Facility: N
Most Recent Health Inspection More Than 2 Years Ago: N

Provider Changed Ownership in Last 12 Months: N
With a Resident and Family Council: Resident
Automatic Sprinkler Systems in All Required Areas: Yes
Overall Rating Footnote:
Health Inspection Rating: 1
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: 2.26212
Reported LPN Staffing Hours per Resident per Day: 0.77182
Reported RN Staffing Hours per Resident per Day: 0.41356
Reported Licensed Staffing Hours per Resident per Day: 1.18537
Reported Total Nurse Staffing Hours per Resident per Day: 3.44749
Reported Physical Therapist Staffing Hours per Resident Per Day: 0.06656
Expected CNA Staffing Hours per Resident per Day: 2.19657
Expected LPN Staffing Hours per Resident per Day: 0.76569
Expected RN Staffing Hours per Resident per Day: 0.36800
Expected Total Nurse Staffing Hours per Resident per Day: 3.33026

Adjusted CNA Staffing Hours per Resident per Day: 2.15158
Adjusted LPN Staffing Hours per Resident per Day: 0.76493
Adjusted RN Staffing Hours per Resident per Day: 0.42751
Adjusted Total Nurse Staffing Hours per Resident per Day: 3.34216
Health Survey Date Under New Process: No Health Inspection since 11/28/2017
Number of Health Deficiencies on Survey Under New Process: Not Applicable
Severity of Most Severe Deficiency Cited Under New Process: Not Applicable
Largest Number of Residents Affected by Deficiency Cited Under New Process: Not Applicable
Date of Previous Standard Health Inspection: 08/24/2017
Number of Health Deficiencies on Previous Standard Health Inspection: 14
Rating Cycle 1 Standard Survey Health Date: 2017-08-24
Rating Cycle 1 Total Number of Health Deficiencies: 21
Rating Cycle 1 Number of Standard Health Deficiencies: 14
Rating Cycle 1 Number of Complaint Health Deficiencies: 7
Rating Cycle 1 Health Deficiency Score: 148
Rating Cycle 1 Number of Health Revisits: 1
Rating Cycle 1 Health Revisit Score: 0
Rating Cycle 1 Total Health Score: 148

Rating Cycle 2 Standard Health Survey Date: 2016-09-02
Rating Cycle 2 Total Number of Health Deficiencies: 11
Rating Cycle 2 Number of Standard Health Deficiencies: 7
Rating Cycle 2 Number of Complaint Health Deficiencies: 4
Rating Cycle 2 Health Deficiency Score: 56
Rating Cycle 2 Number of Health Revisits: 1
Rating Cycle 2 Health Revisit Score: 0
Rating Cycle 2 Total Health Score: 56
Total Weighted Health Survey Score: 111.200
Number of Facility Reported Incidents: 2
Number of Fines: 0
Total Amount of Fines in Dollars: 0
Number of Payment Denials: 0
Total Number of Penalties: 0
Processing Date: 2018-04-01