Medina Nursing Center - Durand Nursing Home
General Information
UPDATEFederal Provider Number
145495
Provider Name
MEDINA NURSING CENTER
Provider Address
402 SOUTH CENTER STREET
DURAND, IL 61024
DURAND, IL 61024
Provider Phone Number
8152482151
Provider SSA County
991
Provider County Name
Winnebago
Ownership Type
For profit - Corporation
Number of Certified Beds
89
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEDINA NURSING CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1984-04-26
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
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
2.26232
Reported LPN Staffing Hours per Resident per Day
0.34420
Reported RN Staffing Hours per Resident per Day
0.76232
Reported Licensed Staffing Hours per Resident per Day
1.10652
Reported Total Nurse Staffing Hours per Resident per Day
3.36884
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06594
Expected CNA Staffing Hours per Resident per Day
2.46229
Expected LPN Staffing Hours per Resident per Day
0.57845
Expected RN Staffing Hours per Resident per Day
0.86973
Expected Total Nurse Staffing Hours per Resident per Day
3.91047
Adjusted CNA Staffing Hours per Resident per Day
2.25442
Adjusted LPN Staffing Hours per Resident per Day
0.49388
Adjusted RN Staffing Hours per Resident per Day
0.65493
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47259
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-05-29
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-04-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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