Bethalto Care Center - Bethalto Nursing Home
General Information
UPDATEFederal Provider Number
14E717
Provider Name
BETHALTO CARE CENTER
Provider Address
815 SOUTH PRAIRIE STREET
BETHALTO, IL 62010
BETHALTO, IL 62010
Provider Phone Number
6183772144
Provider SSA County
680
Provider County Name
Madison
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
67
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-09-15
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.55224
Reported LPN Staffing Hours per Resident per Day
0.59701
Reported RN Staffing Hours per Resident per Day
0.25522
Reported Licensed Staffing Hours per Resident per Day
0.85224
Reported Total Nurse Staffing Hours per Resident per Day
2.40447
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.41570
Expected LPN Staffing Hours per Resident per Day
0.55828
Expected RN Staffing Hours per Resident per Day
0.69844
Expected Total Nurse Staffing Hours per Resident per Day
3.67242
Adjusted CNA Staffing Hours per Resident per Day
1.57666
Adjusted LPN Staffing Hours per Resident per Day
0.88758
Adjusted RN Staffing Hours per Resident per Day
0.27304
Adjusted Total Nurse Staffing Hours per Resident per Day
2.63918
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
12
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
157
Cycle 2 Standard Health Survey Date
2013-08-02
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
20
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
61.66700
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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