Galena Stauss Nursing Home - Galena Nursing Home
General Information
UPDATEFederal Provider Number
146140
Provider Name
GALENA STAUSS NURSING HOME
Provider Address
215 SUMMIT STREET
GALENA, IL 61036
GALENA, IL 61036
Provider Phone Number
8157767254
Provider SSA County
510
Provider County Name
Jo Daviess
Ownership Type
Non profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
2010-02-17
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.53889
Reported LPN Staffing Hours per Resident per Day
0.76333
Reported RN Staffing Hours per Resident per Day
0.55778
Reported Licensed Staffing Hours per Resident per Day
1.32111
Reported Total Nurse Staffing Hours per Resident per Day
3.86000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.48976
Expected LPN Staffing Hours per Resident per Day
0.62993
Expected RN Staffing Hours per Resident per Day
0.91933
Expected Total Nurse Staffing Hours per Resident per Day
4.03902
Adjusted CNA Staffing Hours per Resident per Day
2.50211
Adjusted LPN Staffing Hours per Resident per Day
1.00577
Adjusted RN Staffing Hours per Resident per Day
0.45335
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85224
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-09-25
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
10
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
17.33300
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
Nursiong Homes Nearby
Elizabeth Nursing Home
540 Pleasant Street |
ELIZABETH IL 61028 | 13.4 miles away
Waverly Place Of Stockton
501 East Front Street, Po Box #38 |
STOCKTON IL 61085 | 22.8 miles away
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