Doctors Nursing And Rehab Center - Salem Nursing Home
General Information
UPDATEFederal Provider Number
145247
Provider Name
DOCTORS NURSING AND REHAB CENTER
Provider Address
1201 HAWTHORN ROAD
SALEM, IL 62881
SALEM, IL 62881
Provider Phone Number
(618) 548-4884
Provider SSA County
690
Provider County Name
Marion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DOCTORS NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1972-11-22
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
1.93802
Reported LPN Staffing Hours per Resident per Day
0.70469
Reported RN Staffing Hours per Resident per Day
0.75677
Reported Licensed Staffing Hours per Resident per Day
1.46146
Reported Total Nurse Staffing Hours per Resident per Day
3.39948
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04167
Expected CNA Staffing Hours per Resident per Day
2.54711
Expected LPN Staffing Hours per Resident per Day
0.76186
Expected RN Staffing Hours per Resident per Day
1.30368
Expected Total Nurse Staffing Hours per Resident per Day
4.61265
Adjusted CNA Staffing Hours per Resident per Day
1.86695
Adjusted LPN Staffing Hours per Resident per Day
0.76772
Adjusted RN Staffing Hours per Resident per Day
0.43374
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97074
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
20
Cycle 2 Standard Health Survey Date
2014-02-11
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
10
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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