Hamilton Memorial Rehab & Hcc - Mcleansboro Nursing Home

General Information

UPDATE
Federal Provider Number
146146
Provider Name
HAMILTON MEMORIAL REHAB & HCC
Provider Address
609 SOUTH MARSHALL
MCLEANSBORO, IL 62859
Provider Phone Number
(618) 643-2325
Provider SSA County
410
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HAMILTON MEMORIAL NURSING AND REHABILITATION CENTER, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
2011-09-08
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.06915
Reported LPN Staffing Hours per Resident per Day
0.74681
Reported RN Staffing Hours per Resident per Day
0.59468
Reported Licensed Staffing Hours per Resident per Day
1.34149
Reported Total Nurse Staffing Hours per Resident per Day
3.41064
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01170
Expected CNA Staffing Hours per Resident per Day
2.49793
Expected LPN Staffing Hours per Resident per Day
0.62266
Expected RN Staffing Hours per Resident per Day
0.93571
Expected Total Nurse Staffing Hours per Resident per Day
4.05630
Adjusted CNA Staffing Hours per Resident per Day
2.03251
Adjusted LPN Staffing Hours per Resident per Day
0.99549
Adjusted RN Staffing Hours per Resident per Day
0.47488
Adjusted Total Nurse Staffing Hours per Resident per Day
3.38928
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
2014-08-20
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
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-24
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
28
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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