Caseyville Nursing & Rehab Ctr - Caseyville Nursing Home
General Information
UPDATEFederal Provider Number
145585
Provider Name
CASEYVILLE NURSING & REHAB CTR
Provider Address
601 WEST LINCOLN AVENUE
CASEYVILLE, IL 62232
CASEYVILLE, IL 62232
Provider Phone Number
(618) 345-3072
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
150
Number of Residents in Certified Beds
109
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CASEYVILLE NURSING AND REHAB CENTER
Date First Approved to Provide Medicare and Medicaid services
1987-09-22
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.08624
Reported LPN Staffing Hours per Resident per Day
0.71193
Reported RN Staffing Hours per Resident per Day
0.48853
Reported Licensed Staffing Hours per Resident per Day
1.20046
Reported Total Nurse Staffing Hours per Resident per Day
3.28670
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01560
Expected CNA Staffing Hours per Resident per Day
2.44219
Expected LPN Staffing Hours per Resident per Day
0.59096
Expected RN Staffing Hours per Resident per Day
0.97704
Expected Total Nurse Staffing Hours per Resident per Day
4.01019
Adjusted CNA Staffing Hours per Resident per Day
2.09607
Adjusted LPN Staffing Hours per Resident per Day
0.99990
Adjusted RN Staffing Hours per Resident per Day
0.37361
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30367
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-04-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-03-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
119
Cycle 3 Standard Health Survey Date
2013-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
119
Total Weighted Health Survey Score
67.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
31850
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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