FAIRMONT REHABILITATION HOSPITAL
NPI 1942256391
Skilled Nursing Facility in Lodi, CA

Active since May 26, 2006CLIA 05D0714424 · Waiver
5/5
Overall Rating
950 S FAIRMONT AVE, LODI, CA 95240(209) 368-0693(209) 339-9759 Get Directions Write a Review

NPPES record last updated: April 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2024, May 27, 2021 (2 updates tracked since 2021).

About Fairmont Rehabilitation Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRMONT REHABILITATION HOSPITAL (NPI 1942256391) is a healthcare organization registered as a skilled nursing facility in Lodi, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marc Johnson, Cfo, as its authorized official.

NPPES Registry Identity

NPI1942256391
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameLODI SKILLED NURSING SERVICES, INC.
Location Address950 S FAIRMONT AVELodi, CA 95240
Mailing Address25910 Acero Ste 350Mission Viejo, CA 92691-7908 · (949) 441-9258
Fax(209) 339-9759
Organization SubpartNo
Authorized OfficialMarc JohnsonCfo · (949) 373-8373
Enumeration DateMay 26, 2006
Last NPPES UpdateApril 5, 20242 updates tracked since enumeration
NPPES CertifiedApril 5, 2024
NPI 1942256391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in CA · 100000039
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
950 S FAIRMONT AVE, Lodi, CA 95240

Other Names 1

Doing Business AsFairmont Rehabilitation Hospital

Other Identifiers 1

MedicaidZZR05242ICA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0714424

Fairmont Rehabilitation Hospital · Lodi, CA
Active · expires Aug 31, 2026
CLIA Number05D0714424
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorShiraz Buhari
Laboratory Phone(209) 368-0693
Laboratory LocationFairmont Rehabilitation Hospital950 S Fairmont Ave, Lodi, CA 95240
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Fairmont Rehabilitation Hospital (CMS certification number 055242), from CMS Care Compare.

Fairmont Rehabilitation Hospital

Nursing home · Lodi, CA
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number055242
Certified Beds59 beds54 residents per day on average
Medicare & Medicaid Participant SinceJanuary 1, 1967
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
4/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
4/5
Staffing
Based on nursing staff hours relative to resident needs.
4/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
34
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.42 · LPN 1.51 · RN 0.47
4.4 hrs per resident per day
Weekend Nurse Staffing
3.89 hrs per resident per day
Physical Therapist Staffing
0.2 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
21.1%
Registered Nurse Turnover
28.6%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
3
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
950 S FAIRMONT AVE
LODI, CA 95240

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lodi Skilled Nursing Services, Inc.'s NPI number?

The NPI number for Lodi Skilled Nursing Services, Inc. is 1942256391. It was assigned to this organization in the NPPES registry on May 26, 2006. The provider is doing business as Fairmont Rehabilitation Hospital.

Where is Lodi Skilled Nursing Services, Inc. located?

Lodi Skilled Nursing Services, Inc. is located at 950 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 368-0693.

What is Lodi Skilled Nursing Services, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Lodi Skilled Nursing Services, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0714424) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Lodi Skilled Nursing Services, Inc. a Medicare-certified nursing home?

Yes. Fairmont Rehabilitation Hospital is a Medicare-certified nursing home with 59 certified beds.

What quality rating does Lodi Skilled Nursing Services, Inc. have?

CMS rates Fairmont Rehabilitation Hospital 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Lodi Skilled Nursing Services, Inc. was last updated on April 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.