Burnsides Community Health Ctr - Marshall Nursing Home
General Information
UPDATEFederal Provider Number
146046
Provider Name
BURNSIDES COMMUNITY HEALTH CTR
Provider Address
410 NORTH SECOND STREET
MARSHALL, IL 62441
MARSHALL, IL 62441
Provider Phone Number
2178262358
Provider SSA County
110
Provider County Name
Clark
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURNSIDES COMMUNITY HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
2003-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.13403
Reported LPN Staffing Hours per Resident per Day
0.60903
Reported RN Staffing Hours per Resident per Day
0.68750
Reported Licensed Staffing Hours per Resident per Day
1.29653
Reported Total Nurse Staffing Hours per Resident per Day
3.43056
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00764
Expected CNA Staffing Hours per Resident per Day
2.39268
Expected LPN Staffing Hours per Resident per Day
0.59142
Expected RN Staffing Hours per Resident per Day
0.96855
Expected Total Nurse Staffing Hours per Resident per Day
3.95264
Adjusted CNA Staffing Hours per Resident per Day
2.18845
Adjusted LPN Staffing Hours per Resident per Day
0.85472
Adjusted RN Staffing Hours per Resident per Day
0.53038
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49848
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-05-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-16
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
16
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
948
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
948
Total Weighted Health Survey Score
208.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
Number of Fines
2
Total Amount of Fines in Dollars
47125
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Casey Healthcare Center
100 N.e. 15th |
CASEY IL 62420 | 15.8 miles away
Heartland Manor Nursing Center
410 Northwest Third |
CASEY IL 62420 | 16.9 miles away
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