Meridian Village Care Center - Glen Carbon Nursing Home
General Information
UPDATEFederal Provider Number
146142
Provider Name
MERIDIAN VILLAGE CARE CENTER
Provider Address
27 AUERBACH PLACE
GLEN CARBON, IL 62034
GLEN CARBON, IL 62034
Provider Phone Number
(618) 288-3700
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
70
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MERIDIAN VILLAGE ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
2010-11-03
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
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
3.17969
Reported LPN Staffing Hours per Resident per Day
0.69531
Reported RN Staffing Hours per Resident per Day
0.83203
Reported Licensed Staffing Hours per Resident per Day
1.52734
Reported Total Nurse Staffing Hours per Resident per Day
4.70703
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08906
Expected CNA Staffing Hours per Resident per Day
2.61572
Expected LPN Staffing Hours per Resident per Day
0.61021
Expected RN Staffing Hours per Resident per Day
0.98553
Expected Total Nurse Staffing Hours per Resident per Day
4.21147
Adjusted CNA Staffing Hours per Resident per Day
2.98274
Adjusted LPN Staffing Hours per Resident per Day
0.94575
Adjusted RN Staffing Hours per Resident per Day
0.63082
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50522
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
48
Cycle 2 Standard Health Survey Date
2013-12-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
10725
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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