Graham Hospital - Canton Nursing Home
General Information
UPDATEFederal Provider Number
145572
Provider Name
GRAHAM HOSPITAL
Provider Address
210 WEST WALNUT STREET
CANTON, IL 61520
CANTON, IL 61520
Provider Phone Number
(309) 647-5240
Provider SSA County
370
Provider County Name
Fulton
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRAHAM HOSPITAL ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1987-07-02
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
3.58269
Reported LPN Staffing Hours per Resident per Day
1.18654
Reported RN Staffing Hours per Resident per Day
1.03269
Reported Licensed Staffing Hours per Resident per Day
2.21923
Reported Total Nurse Staffing Hours per Resident per Day
5.80192
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07885
Expected CNA Staffing Hours per Resident per Day
2.69061
Expected LPN Staffing Hours per Resident per Day
0.61702
Expected RN Staffing Hours per Resident per Day
0.80443
Expected Total Nurse Staffing Hours per Resident per Day
4.11205
Adjusted CNA Staffing Hours per Resident per Day
3.26724
Adjusted LPN Staffing Hours per Resident per Day
1.59611
Adjusted RN Staffing Hours per Resident per Day
0.95922
Adjusted Total Nurse Staffing Hours per Resident per Day
5.68742
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
28
Cycle 2 Standard Health Survey Date
2013-11-26
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-10-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
18.66700
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
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