Henderson County Ret Center - Stronghurst Nursing Home
General Information
UPDATEFederal Provider Number
146103
Provider Name
HENDERSON COUNTY RET CENTER
Provider Address
604 OAKWOOD DRIVE
STRONGHURST, IL 61480
STRONGHURST, IL 61480
Provider Phone Number
3099241123
Provider SSA County
440
Provider County Name
Henderson
Ownership Type
Non profit - Other
Number of Certified Beds
60
Number of Residents in Certified Beds
38
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HENDERSON COUNTY RETIREMENT CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
1.96184
Reported LPN Staffing Hours per Resident per Day
0.56842
Reported RN Staffing Hours per Resident per Day
1.03684
Reported Licensed Staffing Hours per Resident per Day
1.60526
Reported Total Nurse Staffing Hours per Resident per Day
3.56710
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02237
Expected CNA Staffing Hours per Resident per Day
2.21593
Expected LPN Staffing Hours per Resident per Day
0.56775
Expected RN Staffing Hours per Resident per Day
0.80271
Expected Total Nurse Staffing Hours per Resident per Day
3.58639
Adjusted CNA Staffing Hours per Resident per Day
2.17234
Adjusted LPN Staffing Hours per Resident per Day
0.83098
Adjusted RN Staffing Hours per Resident per Day
0.96514
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00922
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-03-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-05-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
24
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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