Carbondale Rehab & Nrsg Ctr Ii - Carbondale Nursing Home
General Information
UPDATEFederal Provider Number
146079
Provider Name
CARBONDALE REHAB & NRSG CTR II
Provider Address
500 SOUTH LEWIS LANE
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Provider Phone Number
6185295355
Provider SSA County
470
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
42
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIA HEALTHCARE OF CARBONDALE, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-04-26
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
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
2.33810
Reported LPN Staffing Hours per Resident per Day
0.51310
Reported RN Staffing Hours per Resident per Day
1.00119
Reported Licensed Staffing Hours per Resident per Day
1.51429
Reported Total Nurse Staffing Hours per Resident per Day
3.85239
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02024
Expected CNA Staffing Hours per Resident per Day
2.43815
Expected LPN Staffing Hours per Resident per Day
0.66420
Expected RN Staffing Hours per Resident per Day
1.13827
Expected Total Nurse Staffing Hours per Resident per Day
4.24062
Adjusted CNA Staffing Hours per Resident per Day
2.35301
Adjusted LPN Staffing Hours per Resident per Day
0.64118
Adjusted RN Staffing Hours per Resident per Day
0.65721
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66187
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
16
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2014-02-25
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
38
Cycle 3 Number of Standard Health Deficiencies
30
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
248
Cycle 3 Standard Health Survey Date
2013-03-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
248
Total Weighted Health Survey Score
124.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
31
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Carbondale Rehab & Nursing Center
120 North Tower Road |
CARBONDALE IL 62901 | 2.9 miles away
Manor Court Of Carbondale
2940 W Westridge Place |
CARBONDALE IL 62901 | 3 miles away
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