Enfield Rehab & Health Care Ct - Enfield Nursing Home
General Information
UPDATEFederal Provider Number
146156
Provider Name
ENFIELD REHAB & HEALTH CARE CT
Provider Address
408 NORTH WILSON STREET
ENFIELD, IL 62835
ENFIELD, IL 62835
Provider Phone Number
(618) 963-2331
Provider SSA County
987
Provider County Name
White
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
25
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH & WELLNESS LLC
Date First Approved to Provide Medicare and Medicaid services
2012-07-18
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.32000
Reported LPN Staffing Hours per Resident per Day
0.82200
Reported RN Staffing Hours per Resident per Day
0.74400
Reported Licensed Staffing Hours per Resident per Day
1.56600
Reported Total Nurse Staffing Hours per Resident per Day
3.88600
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05800
Expected CNA Staffing Hours per Resident per Day
2.39993
Expected LPN Staffing Hours per Resident per Day
0.73662
Expected RN Staffing Hours per Resident per Day
1.08076
Expected Total Nurse Staffing Hours per Resident per Day
4.21731
Adjusted CNA Staffing Hours per Resident per Day
2.37198
Adjusted LPN Staffing Hours per Resident per Day
0.92620
Adjusted RN Staffing Hours per Resident per Day
0.51437
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71423
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
44
Cycle 1 Standard Survey Health Date
2014-06-24
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-18
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
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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