Fayette Nursing and Rehabilitation Center
100 Hresan Boulevard, Fayetteville, WV 25840


Fayette Nursing and Rehabilitation Center is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 515153. The address is 100 Hresan Boulevard, Fayetteville, WV 25840. The zip code is 25840. The phone number is 3045740770.


Fayette Nursing and Rehabilitation Center · 100 Hresan Boulevard, Fayetteville, WV 25840

Federal Provider Number 515153
Provider Name FAYETTE NURSING AND REHABILITATION CENTER
Address 100 HRESAN BOULEVARD
FAYETTEVILLE, WV 25840
Phone Number 3045740770
SSA County Code 90
County Name Fayette
Ownership Type For profit - Corporation
Certified Beds 60
Certified Beds Residents 56
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name FAYETTE NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare Medicaid Services 07/16/1997
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 Both
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 5
Quality Measure Rating 1
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.83304
Reported LPN Staffing Hours per Resident per Day 0.92232
Reported RN Staffing Hours per Resident per Day 0.76339
Reported Licensed Staffing Hours per Resident per Day 1.68571
Reported Total Nurse Staffing Hours per Resident per Day 3.51875
Reported Physical Therapist Staffing Hours per Resident Per Day 0.0625
Expected CNA Staffing Hours per Resident per Day 2.53034
Expected LPN Staffing Hours per Resident per Day 0.74451
Expected RN Staffing Hours per Resident per Day 1.23734
Expected Total Nurse Staffing Hours per Resident per Day 4.51219
Adjusted CNA Staffing Hours per Resident per Day 1.77752
Adjusted LPN Staffing Hours per Resident per Day 1.02822
Adjusted RN Staffing Hours per Resident per Day 0.46099
Adjusted Total Nurse Staffing Hours per Resident per Day 3.14342
Cycle 1 Standard Survey Health Date 01/19/2017
Cycle 2 Total Number of Health Deficiencies 5
Cycle 2 Number of Standard Health Deficiencies 5
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 09/30/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 12
Cycle 3 Number of Standard Health Deficiencies 9
Cycle 3 Number of Complaint Health Deficiencies 3
Cycle 3 Health Deficiency Score 72
Cycle 3 Standard Health Survey Date 07/23/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 72
Total Weighted Health Survey Score 17.333
Number of Substantiated Complaints 1
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Fayette Nursing and Rehabilitation Center

Owner Name Role Association Date
ALLEGHENY COMMERICAL ENTERPRISES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/01/2009
ALLEGHENY COMMERICAL ENTERPRISES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2009
COGAR, BONNIE (Individual) MANAGING EMPLOYEE since 02/12/2011
ELLIOTT, JOHN (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 11/21/1984
ELLIOTT, JOHN (Individual) DIRECTOR since 11/21/1984
INTEGRATED COMMERCIAL ENTERPRISES INC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 05/27/2005
INTEGRATED COMMERCIAL ENTERPRISES INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 05/27/2005
JONES, TODD (Individual) DIRECTOR since 11/01/2009
SANGER, MICHELLE (Individual) MANAGING EMPLOYEE since 05/09/2011
WISTERIA LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 11/01/2009

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