Fair Haven Shelby County
Fair Haven Shelby County Information
| Facility Name | Fair Haven Shelby County |
| Location | 2901 Fair Road, Sidney, OH 45365 |
| County (SSA Code) | Shelby (760) |
| Phone Number | 937-492-6900 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 125 |
| Average Number of Residents | 90.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | SHELBY COUNTY OHIO |
| Ownership Type | Government - County |
| Date First Approved | 2002-03-02 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.65771 |
| Reported LPN Staffing Hours per Resident per Day | 0.9931 |
| Reported RN Staffing - Hours per Resident per Day | 0.61971 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.61281 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.27052 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01645 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.03865 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72229 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36533 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.12627 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.3353 |
| Total Weighted Health Survey Score for three cycles | 79.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-21 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-27 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-01 |
| Rating cycle 3 - Health Deficiency Score | 72 |
| Rating cycle 3 - Total Health Inspection Score | 72 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |