Crawford Memorial Hospital Ltc - Robinson Nursing Home
General Information
UPDATEFederal Provider Number
146150
Provider Name
CRAWFORD MEMORIAL HOSPITAL LTC
Provider Address
1000 NORTH ALLEN
ROBINSON, IL 62454
ROBINSON, IL 62454
Provider Phone Number
(618) 546-2569
Provider SSA County
150
Provider County Name
Crawford
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
12
Number of Residents in Certified Beds
21
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
CRAWFORD HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
2012-03-29
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40476
Reported LPN Staffing Hours per Resident per Day
0.36667
Reported RN Staffing Hours per Resident per Day
0.99286
Reported Licensed Staffing Hours per Resident per Day
1.35952
Reported Total Nurse Staffing Hours per Resident per Day
3.76429
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.61695
Expected LPN Staffing Hours per Resident per Day
0.75780
Expected RN Staffing Hours per Resident per Day
1.14651
Expected Total Nurse Staffing Hours per Resident per Day
4.52126
Adjusted CNA Staffing Hours per Resident per Day
2.25474
Adjusted LPN Staffing Hours per Resident per Day
0.40160
Adjusted RN Staffing Hours per Resident per Day
0.64707
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35603
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
96
Cycle 2 Standard Health Survey Date
2013-08-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
96
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-03-29
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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