Granite Nursing & Rehabilitation - Granite City Nursing Home
General Information
UPDATEFederal Provider Number
146075
Provider Name
GRANITE NURSING & REHABILITATION
Provider Address
3500 CENTURY DRIVE
GRANITE CITY, IL 62040
GRANITE CITY, IL 62040
Provider Phone Number
(618) 877-2700
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
86
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GRANITE NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-12-20
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06014
Reported LPN Staffing Hours per Resident per Day
0.97297
Reported RN Staffing Hours per Resident per Day
0.46284
Reported Licensed Staffing Hours per Resident per Day
1.43581
Reported Total Nurse Staffing Hours per Resident per Day
3.49595
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13514
Expected CNA Staffing Hours per Resident per Day
2.33047
Expected LPN Staffing Hours per Resident per Day
0.59197
Expected RN Staffing Hours per Resident per Day
1.04201
Expected Total Nurse Staffing Hours per Resident per Day
3.96444
Adjusted CNA Staffing Hours per Resident per Day
2.16908
Adjusted LPN Staffing Hours per Resident per Day
1.36420
Adjusted RN Staffing Hours per Resident per Day
0.33189
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55455
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-09-13
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
6143
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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