Eunice C Smith Nursing Home - Alton Nursing Home
General Information
UPDATEFederal Provider Number
145121
Provider Name
EUNICE C SMITH NURSING HOME
Provider Address
1251 COLLEGE AVENUE
ALTON, IL 62002
ALTON, IL 62002
Provider Phone Number
6184637330
Provider SSA County
680
Provider County Name
Madison
Ownership Type
Non profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ALTON MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1967-01-24
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.98148
Reported LPN Staffing Hours per Resident per Day
1.76019
Reported RN Staffing Hours per Resident per Day
1.18796
Reported Licensed Staffing Hours per Resident per Day
2.94815
Reported Total Nurse Staffing Hours per Resident per Day
6.92963
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05556
Expected CNA Staffing Hours per Resident per Day
2.43437
Expected LPN Staffing Hours per Resident per Day
0.55256
Expected RN Staffing Hours per Resident per Day
0.88317
Expected Total Nurse Staffing Hours per Resident per Day
3.87010
Adjusted CNA Staffing Hours per Resident per Day
4.01310
Adjusted LPN Staffing Hours per Resident per Day
2.64396
Adjusted RN Staffing Hours per Resident per Day
1.00507
Adjusted Total Nurse Staffing Hours per Resident per Day
7.21756
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-10-25
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
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-09-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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
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Rosewood Care Center Of Edwardsville
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