Fayette County Hospital - Vandalia Nursing Home
General Information
UPDATEFederal Provider Number
145499
Provider Name
FAYETTE COUNTY HOSPITAL
Provider Address
650 W TAYLOR ST
VANDALIA, IL 62471
VANDALIA, IL 62471
Provider Phone Number
6182831231
Provider SSA County
340
Provider County Name
Fayette
Ownership Type
Government - County
Number of Certified Beds
85
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
FAYETTE COUNTY HOSPITAL DISTRICT
Date First Approved to Provide Medicare and Medicaid services
1984-10-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.15849
Reported LPN Staffing Hours per Resident per Day
0.64623
Reported RN Staffing Hours per Resident per Day
0.70566
Reported Licensed Staffing Hours per Resident per Day
1.35189
Reported Total Nurse Staffing Hours per Resident per Day
3.51038
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.18755
Expected LPN Staffing Hours per Resident per Day
0.57871
Expected RN Staffing Hours per Resident per Day
0.73417
Expected Total Nurse Staffing Hours per Resident per Day
3.50043
Adjusted CNA Staffing Hours per Resident per Day
2.42110
Adjusted LPN Staffing Hours per Resident per Day
0.92684
Adjusted RN Staffing Hours per Resident per Day
0.71819
Adjusted Total Nurse Staffing Hours per Resident per Day
4.04236
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
28
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
40
Cycle 2 Standard Health Survey Date
2013-08-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
37.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Vandalia Rehab & Health Care C
1500 West St Louis Avenue |
VANDALIA IL 62471 | 1.1 miles away
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