Bridge Care Suites - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
146160
Provider Name
BRIDGE CARE SUITES
Provider Address
3089 OLD JACKSONVILLE ROAD
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
Provider Phone Number
(217) 787-0000
Provider SSA County
920
Provider County Name
Sangamon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OJCC LLC
Date First Approved to Provide Medicare and Medicaid services
2013-05-17
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.62344
Reported LPN Staffing Hours per Resident per Day
0.63125
Reported RN Staffing Hours per Resident per Day
1.04453
Reported Licensed Staffing Hours per Resident per Day
1.67578
Reported Total Nurse Staffing Hours per Resident per Day
4.29922
Reported Physical Therapist Staffing Hours per Resident Per Day
0.36406
Expected CNA Staffing Hours per Resident per Day
2.16285
Expected LPN Staffing Hours per Resident per Day
0.67137
Expected RN Staffing Hours per Resident per Day
1.43310
Expected Total Nurse Staffing Hours per Resident per Day
4.26731
Adjusted CNA Staffing Hours per Resident per Day
2.97623
Adjusted LPN Staffing Hours per Resident per Day
0.78040
Adjusted RN Staffing Hours per Resident per Day
0.54461
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06104
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-05-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
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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