Faith Care Center - Highland Nursing Home
General Information
UPDATEFederal Provider Number
146060
Provider Name
FAITH CARE CENTER
Provider Address
100 FAITH DRIVE
HIGHLAND, IL 62249
HIGHLAND, IL 62249
Provider Phone Number
(618) 654-4600
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FAITH COUNTRYSIDE HOMES
Date First Approved to Provide Medicare and Medicaid services
2004-05-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.50000
Reported LPN Staffing Hours per Resident per Day
2.48750
Reported RN Staffing Hours per Resident per Day
0.52813
Reported Licensed Staffing Hours per Resident per Day
3.01563
Reported Total Nurse Staffing Hours per Resident per Day
5.51563
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01094
Expected CNA Staffing Hours per Resident per Day
2.42455
Expected LPN Staffing Hours per Resident per Day
0.56831
Expected RN Staffing Hours per Resident per Day
0.87680
Expected Total Nurse Staffing Hours per Resident per Day
3.86966
Adjusted CNA Staffing Hours per Resident per Day
2.53005
Adjusted LPN Staffing Hours per Resident per Day
3.63293
Adjusted RN Staffing Hours per Resident per Day
0.45007
Adjusted Total Nurse Staffing Hours per Resident per Day
5.74546
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
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
28
Cycle 2 Standard Health Survey Date
2013-11-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
48.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
7345
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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