Breese Nursing Home - Breese Nursing Home
General Information
UPDATEFederal Provider Number
145410
Provider Name
BREESE NURSING HOME
Provider Address
1155 NORTH FIRST STREET
BREESE, IL 62230
BREESE, IL 62230
Provider Phone Number
(618) 526-4521
Provider SSA County
130
Provider County Name
Clinton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARING FIRST INC.
Date First Approved to Provide Medicare and Medicaid services
1982-03-01
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
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.20986
Reported LPN Staffing Hours per Resident per Day
0.58873
Reported RN Staffing Hours per Resident per Day
0.83310
Reported Licensed Staffing Hours per Resident per Day
1.42183
Reported Total Nurse Staffing Hours per Resident per Day
3.63169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07817
Expected CNA Staffing Hours per Resident per Day
2.36944
Expected LPN Staffing Hours per Resident per Day
0.60726
Expected RN Staffing Hours per Resident per Day
0.86584
Expected Total Nurse Staffing Hours per Resident per Day
3.84254
Adjusted CNA Staffing Hours per Resident per Day
2.28845
Adjusted LPN Staffing Hours per Resident per Day
0.80467
Adjusted RN Staffing Hours per Resident per Day
0.71895
Adjusted Total Nurse Staffing Hours per Resident per Day
3.80971
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
20
Cycle 1 Standard Survey Health Date
2014-12-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
20
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
462
Cycle 3 Standard Health Survey Date
2013-01-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
462
Total Weighted Health Survey Score
93.66700
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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