Bria Of Cahokia - Cahokia Nursing Home

General Information

UPDATE
Federal Provider Number
145613
Provider Name
BRIA OF CAHOKIA
Provider Address
3354 JEROME LANE
CAHOKIA, IL 62206
Provider Phone Number
(618) 337-9400
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
133
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAHOKIA HEALTH CARE CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-22
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
4
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
1.92441
Reported LPN Staffing Hours per Resident per Day
0.62362
Reported RN Staffing Hours per Resident per Day
0.35984
Reported Licensed Staffing Hours per Resident per Day
0.98346
Reported Total Nurse Staffing Hours per Resident per Day
2.90787
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05472
Expected CNA Staffing Hours per Resident per Day
2.28649
Expected LPN Staffing Hours per Resident per Day
0.63831
Expected RN Staffing Hours per Resident per Day
1.07981
Expected Total Nurse Staffing Hours per Resident per Day
4.00461
Adjusted CNA Staffing Hours per Resident per Day
2.06514
Adjusted LPN Staffing Hours per Resident per Day
0.81090
Adjusted RN Staffing Hours per Resident per Day
0.24900
Adjusted Total Nurse Staffing Hours per Resident per Day
2.92696
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-30
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
16
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
132
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
132
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
60.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
7150
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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