Cahokia Nursing & Rehab Center - Cahokia Nursing Home
General Information
UPDATEFederal Provider Number
145581
Provider Name
CAHOKIA NURSING & REHAB CENTER
Provider Address
2 ANNABLE COURT
CAHOKIA, IL 62206
CAHOKIA, IL 62206
Provider Phone Number
(618) 332-0114
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAHOKIA NURSING AND REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1987-08-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.40588
Reported LPN Staffing Hours per Resident per Day
0.81225
Reported RN Staffing Hours per Resident per Day
0.76765
Reported Licensed Staffing Hours per Resident per Day
1.57990
Reported Total Nurse Staffing Hours per Resident per Day
3.98578
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01471
Expected CNA Staffing Hours per Resident per Day
2.50538
Expected LPN Staffing Hours per Resident per Day
0.65793
Expected RN Staffing Hours per Resident per Day
0.98333
Expected Total Nurse Staffing Hours per Resident per Day
4.14664
Adjusted CNA Staffing Hours per Resident per Day
2.35625
Adjusted LPN Staffing Hours per Resident per Day
1.02469
Adjusted RN Staffing Hours per Resident per Day
0.58331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87453
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-04-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
14
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
65.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
16
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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