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FAIRHAVEN CHRISTIAN RET CENTER

Overall Rating

Address

3470 North Alpine Road

Rockford, IL 61114

Contact

8158771441

Certification Date

1976-05-16

Details

CMS Certification Number

14E345

Ownership Type

Non profit - Church related

Number of Certified Beds

96

Average Number of Residents per Day

77.3

Provider Type

Medicaid

Legal Business Name

Legal Business Name Not Available

Affiliated Entity Name

Affiliated Entity ID

Ratings

Health Inspection Rating

3

Quality Measure Rating

2

Staffing Rating

5

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

3.12444

Reported LPN Staffing Hours per Resident per Day

0.78617

Reported RN Staffing Hours per Resident per Day

0.71733

Reported Total Nurse Staffing Hours per Resident per Day

4.62794

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

3.91000

Registered Nurse Hours per Resident per Day on the Weekend

0.43155

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

Inspections

Total Weighted Health Survey Score

88.333

Number of Facility Reported Incidents

3

Number of Substantiated Complaints

3

Number of Citations from Infection Control Inspections

1

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2024-02-15

Total Number of Health Deficiencies

6

Number of Standard Health Deficiencies

4

Number of Complaint Health Deficiencies

2

Health Deficiency Score

68

Number of Health Revisits

0

Health Revisit Score

0

Total Health Score

68

Rating Cycle 2

Standard Health Survey Date

2023-04-20

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

3

Health Deficiency Score

155

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

155

Rating Cycle 3

Standard Health Survey Date

2022-05-04

Total Number of Health Deficiencies

3

Number of Standard Health Deficiencies

3

Number of Complaint Health Deficiencies

0

Health Deficiency Score

16

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

16

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0