Freeburg Care Center - Freeburg Nursing Home
General Information
UPDATEFederal Provider Number
145515
Provider Name
FREEBURG CARE CENTER
Provider Address
746 URBANNA DRIVE
FREEBURG, IL 62243
FREEBURG, IL 62243
Provider Phone Number
6185395856
Provider SSA County
900
Provider County Name
St. Clair
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
104
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FREEBURG CARE CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1984-12-19
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.37356
Reported LPN Staffing Hours per Resident per Day
0.80240
Reported RN Staffing Hours per Resident per Day
0.46154
Reported Licensed Staffing Hours per Resident per Day
1.26394
Reported Total Nurse Staffing Hours per Resident per Day
3.63750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00673
Expected CNA Staffing Hours per Resident per Day
2.59335
Expected LPN Staffing Hours per Resident per Day
0.59524
Expected RN Staffing Hours per Resident per Day
0.83867
Expected Total Nurse Staffing Hours per Resident per Day
4.02726
Adjusted CNA Staffing Hours per Resident per Day
2.24575
Adjusted LPN Staffing Hours per Resident per Day
1.11886
Adjusted RN Staffing Hours per Resident per Day
0.41120
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64079
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-18
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
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-27
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
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
2275
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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