Alton Mem Hsp Hatch Sk N W - Alton Nursing Home
General Information
UPDATEFederal Provider Number
145566
Provider Name
ALTON MEM HSP HATCH SK N W
Provider Address
ONE MEMORIAL DRIVE
ALTON, IL 62002
ALTON, IL 62002
Provider Phone Number
(618) 463-7140
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
28
Number of Residents in Certified Beds
11
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
1986-10-15
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
2.98636
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
5.06364
Reported Licensed Staffing Hours per Resident per Day
5.06364
Reported Total Nurse Staffing Hours per Resident per Day
8.05000
Reported Physical Therapist Staffing Hours per Resident Per Day
1.04091
Expected CNA Staffing Hours per Resident per Day
2.19651
Expected LPN Staffing Hours per Resident per Day
0.85914
Expected RN Staffing Hours per Resident per Day
1.85050
Expected Total Nurse Staffing Hours per Resident per Day
4.90614
Adjusted CNA Staffing Hours per Resident per Day
3.33604
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
2.04461
Adjusted Total Nurse Staffing Hours per Resident per Day
6.61390
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-04-03
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
0
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
20
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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