Midwest Rehab & Respiratory - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
145290
Provider Name
MIDWEST REHAB & RESPIRATORY
Provider Address
727 NORTH 17TH STREET
BELLEVILLE, IL 62226
BELLEVILLE, IL 62226
Provider Phone Number
(618) 234-3323
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
180
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST REHABILITATION & RESPIRATORY CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1977-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.93824
Reported LPN Staffing Hours per Resident per Day
0.16569
Reported RN Staffing Hours per Resident per Day
0.68824
Reported Licensed Staffing Hours per Resident per Day
0.85392
Reported Total Nurse Staffing Hours per Resident per Day
2.79217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01422
Expected CNA Staffing Hours per Resident per Day
2.04772
Expected LPN Staffing Hours per Resident per Day
0.69039
Expected RN Staffing Hours per Resident per Day
1.03685
Expected Total Nurse Staffing Hours per Resident per Day
3.77495
Adjusted CNA Staffing Hours per Resident per Day
2.32252
Adjusted LPN Staffing Hours per Resident per Day
0.19920
Adjusted RN Staffing Hours per Resident per Day
0.49598
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98148
Cycle 1 Total Number of Health Deficiencies
39
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
29
Cycle 1 Health Deficiency Score
384
Cycle 1 Standard Survey Health Date
2015-03-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
384
Cycle 2 Total Number of Health Deficiencies
19
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2014-01-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
23
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
11
Cycle 3 Health Deficiency Score
182
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
182
Total Weighted Health Survey Score
259.66700
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
45
Number of Fines
1
Total Amount of Fines in Dollars
28250
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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