Charleston Rehab & Health Care Center - Charleston Nursing Home
General Information
UPDATEFederal Provider Number
145636
Provider Name
CHARLESTON REHAB & HEALTH CARE CENTER
Provider Address
716 EIGHTEENTH STREET
CHARLESTON, IL 61920
CHARLESTON, IL 61920
Provider Phone Number
(217) 345-7054
Provider SSA County
140
Provider County Name
Coles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
139
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH NETWORK, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-06-19
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.33790
Reported LPN Staffing Hours per Resident per Day
0.65323
Reported RN Staffing Hours per Resident per Day
0.53468
Reported Licensed Staffing Hours per Resident per Day
1.18790
Reported Total Nurse Staffing Hours per Resident per Day
3.52581
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04597
Expected CNA Staffing Hours per Resident per Day
2.38765
Expected LPN Staffing Hours per Resident per Day
0.61198
Expected RN Staffing Hours per Resident per Day
1.02289
Expected Total Nurse Staffing Hours per Resident per Day
4.02252
Adjusted CNA Staffing Hours per Resident per Day
2.40258
Adjusted LPN Staffing Hours per Resident per Day
0.88595
Adjusted RN Staffing Hours per Resident per Day
0.39057
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53316
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
28
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-20
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
24
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
26.00000
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
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