Integrity Hc Of Smithton - Smithton Nursing Home
General Information
UPDATEFederal Provider Number
140000000000000000000000000000
Provider Name
INTEGRITY HC OF SMITHTON
Provider Address
107 SOUTH LINCOLN
SMITHTON, IL 62285
SMITHTON, IL 62285
Provider Phone Number
6182354600
Provider SSA County
900
Provider County Name
St. Clair
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
87
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-06-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.34310
Reported LPN Staffing Hours per Resident per Day
0.48448
Reported RN Staffing Hours per Resident per Day
0.34943
Reported Licensed Staffing Hours per Resident per Day
0.83391
Reported Total Nurse Staffing Hours per Resident per Day
2.17701
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04425
Expected CNA Staffing Hours per Resident per Day
1.68175
Expected LPN Staffing Hours per Resident per Day
0.53464
Expected RN Staffing Hours per Resident per Day
0.76711
Expected Total Nurse Staffing Hours per Resident per Day
2.98350
Adjusted CNA Staffing Hours per Resident per Day
1.95961
Adjusted LPN Staffing Hours per Resident per Day
0.75212
Adjusted RN Staffing Hours per Resident per Day
0.34036
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94128
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
0
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-25
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
282
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
282
Total Weighted Health Survey Score
53.66700
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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