Gateway Regional Med Ctr Snf - Granite City Nursing Home
General Information
UPDATEFederal Provider Number
145562
Provider Name
GATEWAY REGIONAL MED CTR SNF
Provider Address
2100 MADISON AVENUE
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
Provider Phone Number
(618) 798-3175
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
19
Number of Residents in Certified Beds
6
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
GRANITE CITY ILLINOIS HOSPITAL COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1987-01-21
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
0.83333
Reported LPN Staffing Hours per Resident per Day
1.80833
Reported RN Staffing Hours per Resident per Day
3.80833
Reported Licensed Staffing Hours per Resident per Day
5.61667
Reported Total Nurse Staffing Hours per Resident per Day
6.44999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.71667
Expected CNA Staffing Hours per Resident per Day
2.92618
Expected LPN Staffing Hours per Resident per Day
1.16707
Expected RN Staffing Hours per Resident per Day
2.45254
Expected Total Nurse Staffing Hours per Resident per Day
6.54578
Adjusted CNA Staffing Hours per Resident per Day
0.69878
Adjusted LPN Staffing Hours per Resident per Day
1.28606
Adjusted RN Staffing Hours per Resident per Day
1.16026
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97191
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
4
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-12-05
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-09
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
14.00000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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