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Fair Oaks Health Systems, LLC

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About Fair Oaks Health Systems, LLC

General Information

Legal Business NameFair Oaks Health Systems LLC
Ownership TypeFor Profit - Partnership
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareAugust 13, 1991 (25 years)
Capacity114
Residents113
Percent Occupied99%
Program ParticipationMedicare And Medicaid
Resident And Family CouncilsResident
In HospitalNo
Continuing Care Retirement CommunityNo
Special Focus FacilityNo
Auto Sprinkler System In Required AreasYes

Ratings for Fair Oaks Health Systems, LLC

Fair Oaks Health Systems, LLC
was reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of Kentucky Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others. Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident are considered substandard quality of care.

  Residents Affected
Severity of the Deficiency Few Some Many
Immediate jeopardy to resident health or safety J K L
Actual harm that is not immediate jeopardy G H I
No actual harm with potential for more than minimal harm that is not immediate jeopardy D E F
No actual harm with potential for minimal harm A B C

September 14, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

August 14, 2015 - 16 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
ESomePotential for HarmHealth InspectionMake sure that a working call system is available in each resident's room or bathroom and bathing area.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionEnsure that residents with limited range of motion receive appropriate treatment and services to increase range of motion or prevent further decrease in range of motion.
DFewPotential for HarmHealth InspectionProvide necessary care and services to maintain or improve the highest well being of each resident .
DFewPotential for HarmHealth InspectionProvide activities to meet the interests and needs of each resident.
DFewPotential for HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.
DFewPotential for HarmHealth InspectionEnsure services provided by the nursing facility meet professional standards of quality.
DFewPotential for HarmHealth InspectionProvide care by qualified persons according to each resident's written plan of care.
DFewPotential for HarmHealth InspectionImmediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident.

April 24, 2015 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaint1) Hire only people with no legal history of abusing, neglecting or mistreating residents; or 2) report and investigate any acts or reports of abuse, neglect or mistreatment of residents.

July 24, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionAt least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Fair Oaks Health Systems, LLC require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 45min
2hr 45min
ReportedExpected
CNA
45min
40min
ReportedExpected
LPN
50min
60min
ReportedExpected
RN
4hr 20min
4hr 20min
ReportedExpected
Total Nursing

This facility also provides approximately 10min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

99.1%
98.3%
98.3%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Seasonal Influenza Vaccine
99.1%
98.1%
100.0%
96.0%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
-
48.6%
44.4%
49.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
30.2%
21.0%
19.4%
20.6%
Q1 2015Q2 2015Q3 2015KY
Received an Antipsychotic Medication
16.1%
14.8%
9.6%
16.8%
Q1 2015Q2 2015Q3 2015KY
Need for Help with ADLs has Increased
7.9%
8.3%
8.5%
9.5%
Q1 2015Q2 2015Q3 2015KY
Self Report Moderate to Severe Pain
4.7%
4.7%
7.2%
8.3%
Q1 2015Q2 2015Q3 2015KY
Lose Too Much Weight
5.2%
0.0%
2.5%
6.6%
Q1 2015Q2 2015Q3 2015KY
High Risk Residents With Pressure Ulcers
3.0%
0.0%
0.9%
3.4%
Q1 2015Q2 2015Q3 2015KY
Have Depressive Symptoms
0.9%
0.9%
0.0%
6.3%
Q1 2015Q2 2015Q3 2015KY
With a Urinary Tract Infection
4.6%
1.9%
5.4%
3.5%
Q1 2015Q2 2015Q3 2015KY
Experiencing One or More Falls with Major Injury
2.9%
1.1%
1.1%
3.8%
Q1 2015Q2 2015Q3 2015KY
With a Catheter Inserted and Left in Their Bladder
2.8%
1.9%
0.9%
1.7%
Q1 2015Q2 2015Q3 2015KY
Were Physically Restrained

Quality Measures for Short Stay Residents

96.4%
100.0%
95.5%
85.6%
Q1 2015Q2 2015Q3 2015KY
Assessed and Appropriately Given the Pneumococcal Vaccine
100.0%
100.0%
100.0%
85.3%
Q1 2015Q2 2015Q3 2015KY
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
9.5%
-
-
20.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
-
-
-
3.2%
Q1 2015Q2 2015Q3 2015KY
* The data for this facility for some quarters is unavailable.
Newly Received an Antipsychotic Medication
0.0%
0.0%
0.0%
1.2%
Q1 2015Q2 2015Q3 2015KY
With Pressure Ulcers That Are New or Worsened