Auburn Rehab & Hcc - Auburn Nursing Home
General Information
UPDATEFederal Provider Number
145136
Provider Name
AUBURN REHAB & HCC
Provider Address
304 MAPLE AVENUE
AUBURN, IL 62615
AUBURN, IL 62615
Provider Phone Number
(217) 438-6125
Provider SSA County
920
Provider County Name
Sangamon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
70
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AUBURN NURSING AND REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
1967-02-16
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35439
Reported LPN Staffing Hours per Resident per Day
0.84649
Reported RN Staffing Hours per Resident per Day
0.60965
Reported Licensed Staffing Hours per Resident per Day
1.45614
Reported Total Nurse Staffing Hours per Resident per Day
3.81053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.61199
Expected LPN Staffing Hours per Resident per Day
0.60725
Expected RN Staffing Hours per Resident per Day
0.98156
Expected Total Nurse Staffing Hours per Resident per Day
4.20080
Adjusted CNA Staffing Hours per Resident per Day
2.21171
Adjusted LPN Staffing Hours per Resident per Day
1.15700
Adjusted RN Staffing Hours per Resident per Day
0.46409
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65642
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
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
8
Cycle 3 Standard Health Survey Date
2013-01-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
49.33300
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
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