Memorial Care Center - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
145102
Provider Name
MEMORIAL CARE CENTER
Provider Address
4315 MEMORIAL DRIVE
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
Provider Phone Number
(618) 257-5060
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
Non profit - Other
Number of Certified Beds
82
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PROTESTANT MEMORIAL MEDICAL CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.46301
Reported LPN Staffing Hours per Resident per Day
0.36438
Reported RN Staffing Hours per Resident per Day
2.15959
Reported Licensed Staffing Hours per Resident per Day
2.52397
Reported Total Nurse Staffing Hours per Resident per Day
4.98698
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09795
Expected CNA Staffing Hours per Resident per Day
2.45329
Expected LPN Staffing Hours per Resident per Day
0.83510
Expected RN Staffing Hours per Resident per Day
1.77380
Expected Total Nurse Staffing Hours per Resident per Day
5.06219
Adjusted CNA Staffing Hours per Resident per Day
2.46342
Adjusted LPN Staffing Hours per Resident per Day
0.36216
Adjusted RN Staffing Hours per Resident per Day
0.90971
Adjusted Total Nurse Staffing Hours per Resident per Day
3.97101
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
13.33300
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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