Carlinville Rehab & Hcc - Carlinville Nursing Home
General Information
UPDATEFederal Provider Number
145454
Provider Name
CARLINVILLE REHAB & HCC
Provider Address
751 NORTH OAK STREET
CARLINVILLE, IL 62626
CARLINVILLE, IL 62626
Provider Phone Number
2178542511
Provider SSA County
670
Provider County Name
Macoupin
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLINVILLE REHABILITATION AND HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-08-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16875
Reported LPN Staffing Hours per Resident per Day
0.73125
Reported RN Staffing Hours per Resident per Day
0.69167
Reported Licensed Staffing Hours per Resident per Day
1.42292
Reported Total Nurse Staffing Hours per Resident per Day
3.59167
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02014
Expected CNA Staffing Hours per Resident per Day
2.52289
Expected LPN Staffing Hours per Resident per Day
0.61486
Expected RN Staffing Hours per Resident per Day
0.93096
Expected Total Nurse Staffing Hours per Resident per Day
4.06871
Adjusted CNA Staffing Hours per Resident per Day
2.10927
Adjusted LPN Staffing Hours per Resident per Day
0.98712
Adjusted RN Staffing Hours per Resident per Day
0.55514
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55829
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Friendship Skilled Nsg & Rehab
826 North High |
CARLINVILLE IL 62626 | 0.3 mile away
Heritage Health-carlinville
1200 University Avenue |
CARLINVILLE IL 62626 | 0.7 mile away
Pleasant Hill Healthcare
1010 West North Street |
GIRARD IL 62640 | 12.2 miles away
Heritage Health-gillespie
7588 Staunton Road |
GILLESPIE IL 62033 | 12.9 miles away
Sunrise Skilled Nursing & Rehab
333 South Wrightsman Street |
VIRDEN IL 62690 | 15.5 miles away
Heritage Health-staunton
215 West Pennsylvania Avenue |
STAUNTON IL 62088 | 19.5 miles away
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