Hammond-henry District Hsp - Geneseo Nursing Home

General Information

UPDATE
Federal Provider Number
145464
Provider Name
HAMMOND-HENRY DISTRICT HSP
Provider Address
600 NORTH COLLEGE AVENUE
GENESEO, IL 61254
Provider Phone Number
(309) 944-6431
Provider SSA County
450
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
Government - Hospital district
Number of Certified Beds
38
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
HAMMOND HENRY DIST HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1982-10-14
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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10135
Reported LPN Staffing Hours per Resident per Day
0.49054
Reported RN Staffing Hours per Resident per Day
0.64865
Reported Licensed Staffing Hours per Resident per Day
1.13919
Reported Total Nurse Staffing Hours per Resident per Day
3.24054
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08514
Expected CNA Staffing Hours per Resident per Day
2.18463
Expected LPN Staffing Hours per Resident per Day
0.52106
Expected RN Staffing Hours per Resident per Day
0.76728
Expected Total Nurse Staffing Hours per Resident per Day
3.47297
Adjusted CNA Staffing Hours per Resident per Day
2.36016
Adjusted LPN Staffing Hours per Resident per Day
0.78138
Adjusted RN Staffing Hours per Resident per Day
0.63167
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76113
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
20
Cycle 1 Standard Survey Health Date
2014-08-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
15.33300
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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