Fairlawn Haven
Fairlawn Haven Information
| Facility Name | Fairlawn Haven |
| Location | 407 E Lutz Rd, Archbold, OH 43502 |
| County (SSA Code) | Fulton (260) |
| Phone Number | 419-445-3075 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 105 |
| Average Number of Residents | 89.6 |
| CCRC Facility? | Yes |
| 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 | FAIRLAWN HAVEN |
| Ownership Type | Non profit - Church related |
| Date First Approved | 2004-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.88964 |
| Reported LPN Staffing Hours per Resident per Day | 1.30369 |
| Reported RN Staffing - Hours per Resident per Day | 0.49675 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.80044 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.69008 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.04947 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19777 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.86906 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.44973 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.51655 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.25213 |
| Total Weighted Health Survey Score for three cycles | 30.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-15 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-26 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-25 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |