Cobden Rehab & Nursing Center - Cobden Nursing Home
General Information
UPDATEFederal Provider Number
145922
Provider Name
COBDEN REHAB & NURSING CENTER
Provider Address
430 SOUTH FRONT STREET
COBDEN, IL 62920
COBDEN, IL 62920
Provider Phone Number
(618) 893-4214
Provider SSA County
981
Provider County Name
Union
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COBDEN REHABILITATION AND NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-05-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
1.62143
Reported LPN Staffing Hours per Resident per Day
0.28175
Reported RN Staffing Hours per Resident per Day
0.42619
Reported Licensed Staffing Hours per Resident per Day
0.70794
Reported Total Nurse Staffing Hours per Resident per Day
2.32937
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00476
Expected CNA Staffing Hours per Resident per Day
1.74527
Expected LPN Staffing Hours per Resident per Day
0.52712
Expected RN Staffing Hours per Resident per Day
0.74264
Expected Total Nurse Staffing Hours per Resident per Day
3.01503
Adjusted CNA Staffing Hours per Resident per Day
2.27959
Adjusted LPN Staffing Hours per Resident per Day
0.44364
Adjusted RN Staffing Hours per Resident per Day
0.42881
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11422
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-10-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
53690
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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