Fryeburg Health Care Center
70 Fairview Drive, Fryeburg, ME 04037


Fryeburg Health Care Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 205066. The address is 70 Fairview Drive, Fryeburg, ME 04037. The zip code is 04037. The phone number is 2079353351.


Fryeburg Health Care Center · 70 Fairview Drive, Fryeburg, ME 04037

Federal Provider Number 205066
Provider Name FRYEBURG HEALTH CARE CENTER
Address 70 FAIRVIEW DRIVE
FRYEBURG, ME 04037
Phone Number 2079353351
SSA County Code 80
County Name Oxford
Ownership Type For profit - Corporation
Certified Beds 30
Certified Beds Residents 28
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FRYEBURG HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare Medicaid Services 04/12/1991
Continuing Care Retirement Community false
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 5
Health Inspection Rating 3
Quality Measure Rating 5
Staffing Rating 4
RN Staffing Rating 4
Reported CNA Staffing Hours per Resident per Day 2.49286
Reported LPN Staffing Hours per Resident per Day 0.9125
Reported RN Staffing Hours per Resident per Day 0.64464
Reported Licensed Staffing Hours per Resident per Day 1.55714
Reported Total Nurse Staffing Hours per Resident per Day 4.05
Expected CNA Staffing Hours per Resident per Day 2.73283
Expected LPN Staffing Hours per Resident per Day 0.58273
Expected RN Staffing Hours per Resident per Day 0.81558
Expected Total Nurse Staffing Hours per Resident per Day 4.13114
Adjusted CNA Staffing Hours per Resident per Day 2.23824
Adjusted LPN Staffing Hours per Resident per Day 1.29971
Adjusted RN Staffing Hours per Resident per Day 0.59059
Adjusted Total Nurse Staffing Hours per Resident per Day 3.95172
Cycle 1 Total Number of Health Deficiencies 5
Cycle 1 Number of Standard Health Deficiencies 5
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 01/11/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 20
Cycle 2 Standard Health Survey Date 11/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 20
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 16
Cycle 3 Standard Health Survey Date 11/05/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 16
Total Weighted Health Survey Score 15.333
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fryeburg Health Care Center

Owner Name Role Association Date
HICKS FAMILY SERVICES, INC. (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 01/01/1999
HICKS, DAVID (Individual) DIRECTOR since 01/01/1999
HICKS, DAVID (Individual) MANAGING EMPLOYEE since 01/01/1999
HICKS, DAVID (Individual) OFFICER since 01/01/1999
HICKS, ELAINE (Individual) DIRECTOR since 01/01/1999
HICKS, ELAINE (Individual) OFFICER since 01/01/1999

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