Lakeland Rehab & Healthcare Center - Effingham Nursing Home
General Information
UPDATEFederal Provider Number
145256
Provider Name
LAKELAND REHAB & HEALTHCARE CENTER
Provider Address
800 WEST TEMPLE STREET
EFFINGHAM, IL 62401
EFFINGHAM, IL 62401
Provider Phone Number
(217) 342-2171
Provider SSA County
330
Provider County Name
Effingham
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
154
Number of Residents in Certified Beds
111
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKELAND REHABILITATION AND HEALTHCARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-06-11
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.45541
Reported LPN Staffing Hours per Resident per Day
0.55315
Reported RN Staffing Hours per Resident per Day
0.72748
Reported Licensed Staffing Hours per Resident per Day
1.28063
Reported Total Nurse Staffing Hours per Resident per Day
3.73604
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09910
Expected CNA Staffing Hours per Resident per Day
2.47170
Expected LPN Staffing Hours per Resident per Day
0.66854
Expected RN Staffing Hours per Resident per Day
1.15702
Expected Total Nurse Staffing Hours per Resident per Day
4.29725
Adjusted CNA Staffing Hours per Resident per Day
2.43753
Adjusted LPN Staffing Hours per Resident per Day
0.68675
Adjusted RN Staffing Hours per Resident per Day
0.46981
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50447
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
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
12
Cycle 2 Standard Health Survey Date
2014-05-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-06-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
1
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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