Bria Of Belleville - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
145668
Provider Name
BRIA OF BELLEVILLE
Provider Address
150 NORTH 27TH STREET
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
Provider Phone Number
(618) 235-6600
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
140
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELLEVILLE HEALTHCARE & REHAB CENTER
Date First Approved to Provide Medicare and Medicaid services
1989-12-29
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.43652
Reported LPN Staffing Hours per Resident per Day
0.36087
Reported RN Staffing Hours per Resident per Day
1.03565
Reported Licensed Staffing Hours per Resident per Day
1.39652
Reported Total Nurse Staffing Hours per Resident per Day
3.83304
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03957
Expected CNA Staffing Hours per Resident per Day
2.47937
Expected LPN Staffing Hours per Resident per Day
0.69259
Expected RN Staffing Hours per Resident per Day
1.15838
Expected Total Nurse Staffing Hours per Resident per Day
4.33034
Adjusted CNA Staffing Hours per Resident per Day
2.41130
Adjusted LPN Staffing Hours per Resident per Day
0.43247
Adjusted RN Staffing Hours per Resident per Day
0.66803
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56799
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
48
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-06-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
92
Cycle 3 Standard Health Survey Date
2013-06-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
92
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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