Hilltop Skilled Nursing And Rehabilitation - Charleston Nursing Home
General Information
UPDATEFederal Provider Number
145862
Provider Name
HILLTOP SKILLED NURSING AND REHABILITATION
Provider Address
910 WEST POLK STREET
CHARLESTON, IL 61920
CHARLESTON, IL 61920
Provider Phone Number
(217) 345-7066
Provider SSA County
140
Provider County Name
Coles
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
108
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE HILLTOP, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
2.11556
Reported LPN Staffing Hours per Resident per Day
0.97889
Reported RN Staffing Hours per Resident per Day
0.60333
Reported Licensed Staffing Hours per Resident per Day
1.58222
Reported Total Nurse Staffing Hours per Resident per Day
3.69778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03000
Expected CNA Staffing Hours per Resident per Day
2.49952
Expected LPN Staffing Hours per Resident per Day
0.70027
Expected RN Staffing Hours per Resident per Day
1.15836
Expected Total Nurse Staffing Hours per Resident per Day
4.35814
Adjusted CNA Staffing Hours per Resident per Day
2.07678
Adjusted LPN Staffing Hours per Resident per Day
1.16024
Adjusted RN Staffing Hours per Resident per Day
0.38918
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42012
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
36
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
183
Cycle 2 Standard Health Survey Date
2013-12-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
183
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
83.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
10000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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