Carrier Mills Nursing & Rehab Center - Carrier Mills Nursing Home
General Information
UPDATEFederal Provider Number
145323
Provider Name
CARRIER MILLS NURSING & REHAB CENTER
Provider Address
6789 US RT 45, P O BOX 68
CARRIER MILLS, IL 62917
CARRIER MILLS, IL 62917
Provider Phone Number
(618) 994-2323
Provider SSA County
910
Provider County Name
Saline
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARRIER MILLS NURSING & REHAB CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1976-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.66828
Reported LPN Staffing Hours per Resident per Day
0.45376
Reported RN Staffing Hours per Resident per Day
0.57849
Reported Licensed Staffing Hours per Resident per Day
1.03226
Reported Total Nurse Staffing Hours per Resident per Day
2.70053
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00591
Expected CNA Staffing Hours per Resident per Day
2.53498
Expected LPN Staffing Hours per Resident per Day
0.68699
Expected RN Staffing Hours per Resident per Day
0.95814
Expected Total Nurse Staffing Hours per Resident per Day
4.18011
Adjusted CNA Staffing Hours per Resident per Day
1.61479
Adjusted LPN Staffing Hours per Resident per Day
0.54822
Adjusted RN Staffing Hours per Resident per Day
0.45113
Adjusted Total Nurse Staffing Hours per Resident per Day
2.60413
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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