St Joseph Nursing Home - Lacon Nursing Home

General Information

UPDATE
Federal Provider Number
146123
Provider Name
ST JOSEPH NURSING HOME
Provider Address
401 9TH STREET
LACON, IL 61540
Provider Phone Number
3092462175
Provider SSA County
700
Provider County Name
Marshall
Ownership Type
Non profit - Other
Number of Certified Beds
93
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST JOSEPH NURSING HOME INC
Date First Approved to Provide Medicare and Medicaid services
2008-07-03
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
4
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
2.65634
Reported LPN Staffing Hours per Resident per Day
0.56408
Reported RN Staffing Hours per Resident per Day
0.79648
Reported Licensed Staffing Hours per Resident per Day
1.36056
Reported Total Nurse Staffing Hours per Resident per Day
4.01690
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02113
Expected CNA Staffing Hours per Resident per Day
2.36668
Expected LPN Staffing Hours per Resident per Day
0.56841
Expected RN Staffing Hours per Resident per Day
0.87462
Expected Total Nurse Staffing Hours per Resident per Day
3.80972
Adjusted CNA Staffing Hours per Resident per Day
2.75401
Adjusted LPN Staffing Hours per Resident per Day
0.82367
Adjusted RN Staffing Hours per Resident per Day
0.68044
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25011
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-04-17
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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

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