Carbondale Rehab & Nursing Center - Carbondale Nursing Home
General Information
UPDATEFederal Provider Number
145757
Provider Name
CARBONDALE REHAB & NURSING CENTER
Provider Address
120 NORTH TOWER ROAD
CARBONDALE, IL 62901
CARBONDALE, IL 62901
Provider Phone Number
6185493355
Provider SSA County
470
Provider County Name
Jackson
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARBONDALE REHABILITATION AND NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-09-01
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
2
Health Inspection Rating Footnote
QM Rating
4
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
1.71644
Reported LPN Staffing Hours per Resident per Day
0.50137
Reported RN Staffing Hours per Resident per Day
0.36370
Reported Licensed Staffing Hours per Resident per Day
0.86507
Reported Total Nurse Staffing Hours per Resident per Day
2.58151
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07808
Expected CNA Staffing Hours per Resident per Day
2.24344
Expected LPN Staffing Hours per Resident per Day
0.56979
Expected RN Staffing Hours per Resident per Day
0.86977
Expected Total Nurse Staffing Hours per Resident per Day
3.68300
Adjusted CNA Staffing Hours per Resident per Day
1.87731
Adjusted LPN Staffing Hours per Resident per Day
0.73033
Adjusted RN Staffing Hours per Resident per Day
0.31245
Adjusted Total Nurse Staffing Hours per Resident per Day
2.82537
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-10-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-12
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-12-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
50.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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
Nursiong Homes Nearby
Manor Court Of Carbondale
2940 W Westridge Place |
CARBONDALE IL 62901 | 0.4 mile away
Carbondale Rehab & Nrsg Ctr Ii
500 South Lewis Lane |
CARBONDALE IL 62901 | 2.9 miles away
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