Fair Haven
1424 Montclair Road, Birmingham, AL 35210


Fair Haven is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 015076. The address is 1424 Montclair Road, Birmingham, AL 35210. The zip code is 35210. The phone number is 2059564150.


Fair Haven · 1424 Montclair Road, Birmingham, AL 35210

Federal Provider Number 015076
Provider Name FAIR HAVEN
Address 1424 MONTCLAIR ROAD
BIRMINGHAM, AL 35210
Phone Number 2059564150
SSA County Code 360
County Name Jefferson
Ownership Type Non profit - Other
Certified Beds 197
Certified Beds Residents 184
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name METHODIST HOME FOR THE AGING
Date First Approved to Provide Medicare Medicaid Services 03/07/1967
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 2
Reported CNA Staffing Hours per Resident per Day 3.20842
Reported LPN Staffing Hours per Resident per Day 1.1587
Reported RN Staffing Hours per Resident per Day 0.37255
Reported Licensed Staffing Hours per Resident per Day 1.53125
Reported Total Nurse Staffing Hours per Resident per Day 4.73967
Reported Physical Therapist Staffing Hours per Resident Per Day 0.03098
Expected CNA Staffing Hours per Resident per Day 2.32099
Expected LPN Staffing Hours per Resident per Day 0.55969
Expected RN Staffing Hours per Resident per Day 0.86503
Expected Total Nurse Staffing Hours per Resident per Day 3.7457
Adjusted CNA Staffing Hours per Resident per Day 3.39188
Adjusted LPN Staffing Hours per Resident per Day 1.71832
Adjusted RN Staffing Hours per Resident per Day 0.3218
Adjusted Total Nurse Staffing Hours per Resident per Day 5.10055
Cycle 1 Total Number of Health Deficiencies 6
Cycle 1 Number of Standard Health Deficiencies 6
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 12/01/2016
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 18
Cycle 2 Number of Standard Health Deficiencies 18
Cycle 2 Number of Complaint Health Deficiencies 11
Cycle 2 Health Deficiency Score 136
Cycle 2 Standard Health Survey Date 10/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 136
Cycle 3 Total Number of Health Deficiencies 5
Cycle 3 Number of Standard Health Deficiencies 5
Cycle 3 Number of Complaint Health Deficiencies 5
Cycle 3 Health Deficiency Score 40
Cycle 3 Standard Health Survey Date 11/20/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 40
Total Weighted Health Survey Score 70
Number of Substantiated Complaints 2
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fair Haven

Owner Name Role Association Date
ALLISON, MARTHA (Individual) DIRECTOR since 01/12/2009
BARRETT, THAMER (Individual) DIRECTOR since 01/12/2009
BAXTER, JOHN (Individual) DIRECTOR since 01/12/2009
CARLSON, GEORGE (Individual) DIRECTOR since 08/20/2009
CHAPMAN, LYNN (Individual) DIRECTOR since 08/08/2013
CLARK, MARSHA (Individual) DIRECTOR since 08/20/2009
COMFORT, VAN (Individual) DIRECTOR since 01/12/2009
DEABLER, EDWARD (Individual) DIRECTOR since 01/12/2009
DOOLING, JERRY (Individual) DIRECTOR since 01/12/2009
ECKERT, CHRISTIAN (Individual) DIRECTOR since 08/20/2009
ELLISOR, ROBERT (Individual) DIRECTOR since 08/16/2012
GATTIS, CHARLES (Individual) DIRECTOR since 01/12/2009
GILES, MICHAEL (Individual) DIRECTOR since 01/12/2009
GILES, MICHAEL (Individual) MANAGING EMPLOYEE since 11/13/2013
GRISWOLD, DIANE (Individual) DIRECTOR since 01/12/2009
HALL, JAMES (Individual) DIRECTOR since 01/12/2009
HAMMONS, THOMAS (Individual) DIRECTOR since 01/12/2009
HARDIE, SAMUEL (Individual) DIRECTOR since 08/20/2009
HOLLOWAY, MAUDINE (Individual) DIRECTOR since 01/12/2009
JACKSON, VICKI (Individual) OFFICER since 04/26/2012
JOHNSON, CURTIS (Individual) DIRECTOR since 01/12/2009
LEELAND, PAUL (Individual) DIRECTOR since 01/12/2009
LONG, CARL (Individual) DIRECTOR since 01/12/2009
LYLES, STEVEN (Individual) OFFICER since 08/11/2011
MATHISON, JOHN (Individual) DIRECTOR since 01/12/2009
MCCLELLAN, STEPHAN (Individual) DIRECTOR since 08/08/2013
MCKEE, ROBERT (Individual) DIRECTOR since 01/12/2009
MIXSON, REX (Individual) DIRECTOR since 01/12/2009
MORRIS, DANIEL (Individual) OFFICER since 08/11/2011
MOUNT, JOHN (Individual) DIRECTOR since 01/12/2009
MULLINS, WILLIAM (Individual) DIRECTOR since 01/12/2009
NEWTON, DOUGLAS (Individual) DIRECTOR since 01/12/2009
ODOM, MARGARET (Individual) DIRECTOR since 01/12/2009
PEACOCK, TOMMY (Individual) DIRECTOR since 08/16/2012
ROBERTS, HENRY (Individual) DIRECTOR since 01/12/2009
RUSSELL, SCOTT (Individual) DIRECTOR since 08/20/2009
SADLER, HERBERT (Individual) DIRECTOR since 01/12/2009
SALTER, BETTY (Individual) DIRECTOR since 01/12/2009
SANDERS, JAMES (Individual) DIRECTOR since 01/12/2009
SCALES, ROBERT (Individual) DIRECTOR since 01/12/2009
SUMNER, SAMUEL (Individual) DIRECTOR since 08/16/2012
TAKACS, TERRYE (Individual) DIRECTOR since 08/20/2009
TOMLIN, CHRISTOPHER (Individual) DIRECTOR since 01/12/2009
WATERS, THOMAS (Individual) DIRECTOR since 08/19/2010
WILLIAMSON, SAMUAL (Individual) DIRECTOR since 01/12/2009

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