Lebanon Care Center - Lebanon Nursing Home
General Information
UPDATEFederal Provider Number
145897
Provider Name
LEBANON CARE CENTER
Provider Address
1201 NORTH ALTON
LEBANON, IL 62254
LEBANON, IL 62254
Provider Phone Number
(618) 537-4401
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST HEALTH OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-06-11
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
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
2
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
1.86806
Reported LPN Staffing Hours per Resident per Day
0.73889
Reported RN Staffing Hours per Resident per Day
0.46944
Reported Licensed Staffing Hours per Resident per Day
1.20833
Reported Total Nurse Staffing Hours per Resident per Day
3.07639
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02153
Expected CNA Staffing Hours per Resident per Day
2.26487
Expected LPN Staffing Hours per Resident per Day
0.59215
Expected RN Staffing Hours per Resident per Day
0.94981
Expected Total Nurse Staffing Hours per Resident per Day
3.80683
Adjusted CNA Staffing Hours per Resident per Day
2.02381
Adjusted LPN Staffing Hours per Resident per Day
1.03567
Adjusted RN Staffing Hours per Resident per Day
0.36930
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25747
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-01-28
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
36
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
52
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
52
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
80.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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