Duquoin Nursing And Rehab - Du Quoin Nursing Home
General Information
UPDATEFederal Provider Number
145008
Provider Name
DUQUOIN NURSING AND REHAB
Provider Address
514 EAST JACKSON ST
DU QUOIN, IL 62832
DU QUOIN, IL 62832
Provider Phone Number
(618) 542-4731
Provider SSA County
810
Provider County Name
Perry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DUQUOIN NURSING & REHABILITATION
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.36711
Reported LPN Staffing Hours per Resident per Day
0.54605
Reported RN Staffing Hours per Resident per Day
0.70658
Reported Licensed Staffing Hours per Resident per Day
1.25263
Reported Total Nurse Staffing Hours per Resident per Day
2.61974
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00789
Expected CNA Staffing Hours per Resident per Day
2.49716
Expected LPN Staffing Hours per Resident per Day
0.60245
Expected RN Staffing Hours per Resident per Day
0.88680
Expected Total Nurse Staffing Hours per Resident per Day
3.98641
Adjusted CNA Staffing Hours per Resident per Day
1.34332
Adjusted LPN Staffing Hours per Resident per Day
0.75229
Adjusted RN Staffing Hours per Resident per Day
0.59535
Adjusted Total Nurse Staffing Hours per Resident per Day
2.64898
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-07-11
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
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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