Highland Health Care Center - Highland Nursing Home
General Information
UPDATEFederal Provider Number
145508
Provider Name
HIGHLAND HEALTH CARE CENTER
Provider Address
1450 26TH STREET
HIGHLAND, IL 62249
HIGHLAND, IL 62249
Provider Phone Number
(618) 654-2368
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
128
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MIDWEST, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-06-20
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
2.62431
Reported LPN Staffing Hours per Resident per Day
0.70556
Reported RN Staffing Hours per Resident per Day
0.63958
Reported Licensed Staffing Hours per Resident per Day
1.34514
Reported Total Nurse Staffing Hours per Resident per Day
3.96945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05278
Expected CNA Staffing Hours per Resident per Day
2.59051
Expected LPN Staffing Hours per Resident per Day
0.75127
Expected RN Staffing Hours per Resident per Day
1.23548
Expected Total Nurse Staffing Hours per Resident per Day
4.57725
Adjusted CNA Staffing Hours per Resident per Day
2.48572
Adjusted LPN Staffing Hours per Resident per Day
0.77950
Adjusted RN Staffing Hours per Resident per Day
0.38681
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49565
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
232
Cycle 1 Standard Survey Health Date
2014-11-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
232
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
20
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
162.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
4
Number of Fines
3
Total Amount of Fines in Dollars
6500
Number of Payment Denials
1
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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