Casey Healthcare Center - Casey Nursing Home
General Information
UPDATEFederal Provider Number
146117
Provider Name
CASEY HEALTHCARE CENTER
Provider Address
100 N.E. 15TH
CASEY, IL 62420
CASEY, IL 62420
Provider Phone Number
2179325217
Provider SSA County
110
Provider County Name
Clark
Ownership Type
For profit - Corporation
Number of Certified Beds
69
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN MANAGEMENT COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
2007-08-10
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
3
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
2.23545
Reported LPN Staffing Hours per Resident per Day
0.50364
Reported RN Staffing Hours per Resident per Day
0.52636
Reported Licensed Staffing Hours per Resident per Day
1.03000
Reported Total Nurse Staffing Hours per Resident per Day
3.26545
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13545
Expected CNA Staffing Hours per Resident per Day
2.44122
Expected LPN Staffing Hours per Resident per Day
0.53970
Expected RN Staffing Hours per Resident per Day
0.78147
Expected Total Nurse Staffing Hours per Resident per Day
3.76239
Adjusted CNA Staffing Hours per Resident per Day
2.24688
Adjusted LPN Staffing Hours per Resident per Day
0.77455
Adjusted RN Staffing Hours per Resident per Day
0.50328
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49850
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-02-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-12-12
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
9
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
92.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
6190
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Heartland Manor Nursing Center
410 Northwest Third |
CASEY IL 62420 | 1.2 miles away
Burnsides Community Health Ctr
410 North Second Street |
MARSHALL IL 62441 | 15.8 miles away
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