Mcleansboro Rehab & Hlth C Ctr - Mcleansboro Nursing Home
General Information
UPDATEFederal Provider Number
145964
Provider Name
MCLEANSBORO REHAB & HLTH C CTR
Provider Address
405 WEST CARPENTER
MCLEANSBORO, IL 62859
MCLEANSBORO, IL 62859
Provider Phone Number
(618) 643-3728
Provider SSA County
410
Provider County Name
Hamilton
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
43
Number of Residents in Certified Beds
23
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1998-06-28
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.72391
Reported LPN Staffing Hours per Resident per Day
0.81522
Reported RN Staffing Hours per Resident per Day
0.66522
Reported Licensed Staffing Hours per Resident per Day
1.48043
Reported Total Nurse Staffing Hours per Resident per Day
4.20435
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06304
Expected CNA Staffing Hours per Resident per Day
2.47747
Expected LPN Staffing Hours per Resident per Day
0.60357
Expected RN Staffing Hours per Resident per Day
0.87805
Expected Total Nurse Staffing Hours per Resident per Day
3.95909
Adjusted CNA Staffing Hours per Resident per Day
2.69777
Adjusted LPN Staffing Hours per Resident per Day
1.12106
Adjusted RN Staffing Hours per Resident per Day
0.56609
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28061
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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Nursiong Homes Nearby
Hamilton Memorial Rehab & Hcc
609 South Marshall |
MCLEANSBORO IL 62859 | 0.7 mile away