Capitol Healthcare And Rehab Center - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
145160
Provider Name
CAPITOL HEALTHCARE AND REHAB CENTER
Provider Address
555 WEST CARPENTER
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Provider Phone Number
(217) 525-1880
Provider SSA County
920
Provider County Name
Sangamon
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
251
Number of Residents in Certified Beds
164
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CAPITOL HEALTHCARE AND REHABILITATION CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1969-05-23
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.63018
Reported LPN Staffing Hours per Resident per Day
0.90579
Reported RN Staffing Hours per Resident per Day
0.46829
Reported Licensed Staffing Hours per Resident per Day
1.37409
Reported Total Nurse Staffing Hours per Resident per Day
3.00426
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07134
Expected CNA Staffing Hours per Resident per Day
2.20358
Expected LPN Staffing Hours per Resident per Day
0.61690
Expected RN Staffing Hours per Resident per Day
1.02149
Expected Total Nurse Staffing Hours per Resident per Day
3.84197
Adjusted CNA Staffing Hours per Resident per Day
1.81522
Adjusted LPN Staffing Hours per Resident per Day
1.21867
Adjusted RN Staffing Hours per Resident per Day
0.34255
Adjusted Total Nurse Staffing Hours per Resident per Day
3.15199
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
168
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
138.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
33
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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