Integrity Hc Of Wood River - Wood River Nursing Home
General Information
UPDATEFederal Provider Number
145655
Provider Name
INTEGRITY HC OF WOOD RIVER
Provider Address
393 EDWARDSVILLE ROAD
WOOD RIVER, IL 62095
WOOD RIVER, IL 62095
Provider Phone Number
6182594111
Provider SSA County
680
Provider County Name
Madison
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SA-ENC VIPMANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.70270
Reported LPN Staffing Hours per Resident per Day
0.58041
Reported RN Staffing Hours per Resident per Day
0.57297
Reported Licensed Staffing Hours per Resident per Day
1.15338
Reported Total Nurse Staffing Hours per Resident per Day
3.85608
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01554
Expected CNA Staffing Hours per Resident per Day
2.30843
Expected LPN Staffing Hours per Resident per Day
0.61809
Expected RN Staffing Hours per Resident per Day
0.98406
Expected Total Nurse Staffing Hours per Resident per Day
3.91058
Adjusted CNA Staffing Hours per Resident per Day
2.87278
Adjusted LPN Staffing Hours per Resident per Day
0.77940
Adjusted RN Staffing Hours per Resident per Day
0.43506
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97472
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-23
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
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
178
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
178
Total Weighted Health Survey Score
81.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
16
Number of Fines
1
Total Amount of Fines in Dollars
42023
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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