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Fayette Nursing And Rehabilitation Center, LLC

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About Fayette Nursing And Rehabilitation Center, LLC

General Information

Legal Business NameFayette Nursing & Rehabilitation Center LLC
Ownership TypeFor Profit - Corporation
Changed Ownership In The Last 12 MonthsNo
First Accepted MedicareJuly 16, 1997 (19 years)
Capacity60
Residents58
Percent Occupied97%
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 Fayette Nursing And Rehabilitation Center, LLC

Fayette Nursing And Rehabilitation Center, LLC
was reviewed by Medicare to have a rating of 1 out of 5. About Medicare Ratings
Overall Rating
Health Inspections Rating
Quality Measures Rating
Staff Rating
RN Staff Rating

Overall Ratings of West Virginia 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 30, 2015 - 15 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmHealth InspectionDevelop policies and procedures for influenza and pneumococcal immunizations.
BSomePotential for Minimal HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
BSomePotential for Minimal HarmHealth InspectionEnsure each resident receives an accurate assessment by a qualified health professional.

July 2, 2015 - 18 months ago

 Residents AffectedSeveritySource/TypeDescription
ESomePotential for HarmComplaintHave a program that investigates, controls and keeps infection from spreading.
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
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 23, 2014 - 2 years ago

 Residents AffectedSeveritySource/TypeDescription
FManyPotential for HarmHealth InspectionSet up an ongoing quality assessment and assurance group to review quality deficiencies quarterly, and develop corrective plans of action.
ESomePotential for HarmHealth InspectionProvide a safe, clean, comfortable and home-like environment; and allow residents to use personal belongings to the extent possible.
ESomePotential for HarmHealth InspectionProvide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.
ESomePotential for HarmHealth InspectionStore, cook, and serve food in a safe and clean way.
DFewPotential for HarmHealth InspectionMaintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.
DFewPotential for HarmHealth InspectionKeep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.
DFewPotential for HarmHealth InspectionProvide housekeeping and maintenance services.
DFewPotential for HarmHealth InspectionConduct initial and periodic assessments of each resident's functional capacity.
BSomePotential for Minimal HarmHealth InspectionPost nurse staffing information/data on a daily basis.

January 3, 2014 - 3 years ago

 Residents AffectedSeveritySource/TypeDescription
DFewPotential for HarmComplaintKeep accurate, complete and organized clinical records on each resident that meet professional standards.
DFewPotential for HarmComplaintEnsure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.
DFewPotential for HarmComplaintProvide care by qualified persons according to each resident's written plan of care.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Fayette Nursing And Rehabilitation Center, 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.

1hr 60min
2hr 35min
ReportedExpected
CNA
50min
45min
ReportedExpected
LPN
35min
1hr 10min
ReportedExpected
RN
3hr 20min
4hr 30min
ReportedExpected
Total Nursing

This facility also provides approximately 5min per resident per WEEK of physical therapist time.

Quality Measures for Long Stay Residents

79.2%
80.4%
80.4%
96.3%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Seasonal Influenza Vaccine
85.4%
82.6%
77.1%
96.0%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Pneumococcal Vaccine
-
-
-
44.1%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Low Risk Residents Who Lose Control of Their Bowel or Bladder
18.2%
11.9%
18.2%
16.6%
Q1 2015Q2 2015Q3 2015WV
Received an Antipsychotic Medication
21.7%
25.0%
20.0%
19.0%
Q1 2015Q2 2015Q3 2015WV
Need for Help with ADLs has Increased
12.2%
0.0%
13.0%
8.5%
Q1 2015Q2 2015Q3 2015WV
Self Report Moderate to Severe Pain
10.4%
11.6%
8.7%
9.1%
Q1 2015Q2 2015Q3 2015WV
Lose Too Much Weight
11.8%
9.4%
2.8%
7.0%
Q1 2015Q2 2015Q3 2015WV
High Risk Residents With Pressure Ulcers
0.0%
0.0%
0.0%
6.1%
Q1 2015Q2 2015Q3 2015WV
Have Depressive Symptoms
14.6%
4.7%
0.0%
6.8%
Q1 2015Q2 2015Q3 2015WV
With a Urinary Tract Infection
2.1%
2.2%
2.1%
4.6%
Q1 2015Q2 2015Q3 2015WV
Experiencing One or More Falls with Major Injury
8.5%
5.0%
3.3%
4.0%
Q1 2015Q2 2015Q3 2015WV
With a Catheter Inserted and Left in Their Bladder
8.3%
4.3%
2.1%
1.1%
Q1 2015Q2 2015Q3 2015WV
Were Physically Restrained

Quality Measures for Short Stay Residents

59.6%
55.7%
54.5%
82.6%
Q1 2015Q2 2015Q3 2015WV
Assessed and Appropriately Given the Pneumococcal Vaccine
50.9%
50.9%
50.9%
82.8%
Q1 2015Q2 2015Q3 2015WV
Were Assessed and Appropriately Given the Seasonal Influenza Vaccine
21.7%
12.5%
-
20.0%
Q1 2015Q2 2015Q3 2015WV
* The data for this facility for some quarters is unavailable.
Self Report Moderate to Severe Pain
5.1%
2.4%
3.1%
2.2%
Q1 2015Q2 2015Q3 2015WV
Newly Received an Antipsychotic Medication
1.6%
6.1%
8.3%
1.5%
Q1 2015Q2 2015Q3 2015WV
With Pressure Ulcers That Are New or Worsened