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Carlyle Healthcare Center - Carlyle Nursing Home

General Information

UPDATE
Federal Provider Number
145729
Provider Name
CARLYLE HEALTHCARE CENTER
Provider Address
501 CLINTON STREET
CARLYLE, IL 62231
Provider Phone Number
6185943112
Provider SSA County
130
Provider County Name
Clinton
Ownership Type
For profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLYLE HEALTHCARE CENTER INC.
Date First Approved to Provide Medicare and Medicaid services
1992-04-10
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.68876
Reported LPN Staffing Hours per Resident per Day
0.92921
Reported RN Staffing Hours per Resident per Day
0.89494
Reported Licensed Staffing Hours per Resident per Day
1.82416
Reported Total Nurse Staffing Hours per Resident per Day
4.51291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03427
Expected CNA Staffing Hours per Resident per Day
2.54582
Expected LPN Staffing Hours per Resident per Day
0.63997
Expected RN Staffing Hours per Resident per Day
0.99573
Expected Total Nurse Staffing Hours per Resident per Day
4.18152
Adjusted CNA Staffing Hours per Resident per Day
2.59147
Adjusted LPN Staffing Hours per Resident per Day
1.20512
Adjusted RN Staffing Hours per Resident per Day
0.67157
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35035
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-10
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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