Hawthorne Inn Of Danville - Danville Nursing Home

General Information

UPDATE
Federal Provider Number
146090
Provider Name
HAWTHORNE INN OF DANVILLE
Provider Address
3222 INDEPENDENCE DRIVE
DANVILLE, IL 61832
Provider Phone Number
(217) 431-1600
Provider SSA County
982
Provider County Name
Vermilion
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
76
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
2005-06-01
Continuing Care Retirement Community
Y
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
2
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
3.84714
Reported LPN Staffing Hours per Resident per Day
0.59000
Reported RN Staffing Hours per Resident per Day
1.37500
Reported Licensed Staffing Hours per Resident per Day
1.96500
Reported Total Nurse Staffing Hours per Resident per Day
5.81214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08143
Expected CNA Staffing Hours per Resident per Day
2.74038
Expected LPN Staffing Hours per Resident per Day
0.72268
Expected RN Staffing Hours per Resident per Day
1.23511
Expected Total Nurse Staffing Hours per Resident per Day
4.69817
Adjusted CNA Staffing Hours per Resident per Day
3.44468
Adjusted LPN Staffing Hours per Resident per Day
0.67762
Adjusted RN Staffing Hours per Resident per Day
0.83183
Adjusted Total Nurse Staffing Hours per Resident per Day
4.98666
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
16
Cycle 3 Standard Health Survey Date
2012-05-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
16.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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