New Athens Home For The Aged - New Athens Nursing Home

General Information

UPDATE
Federal Provider Number
146115
Provider Name
NEW ATHENS HOME FOR THE AGED
Provider Address
203 SOUTH JOHNSON STREET
NEW ATHENS, IL 62264
Provider Phone Number
6184752550
Provider SSA County
900
Provider County Name
St. Clair
Ownership Type
Non profit - Church related
Number of Certified Beds
53
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NEW ATHENS HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
2007-07-15
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.98649
Reported LPN Staffing Hours per Resident per Day
1.10000
Reported RN Staffing Hours per Resident per Day
0.42027
Reported Licensed Staffing Hours per Resident per Day
1.52027
Reported Total Nurse Staffing Hours per Resident per Day
3.50676
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01216
Expected CNA Staffing Hours per Resident per Day
2.31641
Expected LPN Staffing Hours per Resident per Day
0.55566
Expected RN Staffing Hours per Resident per Day
0.76091
Expected Total Nurse Staffing Hours per Resident per Day
3.63298
Adjusted CNA Staffing Hours per Resident per Day
2.10422
Adjusted LPN Staffing Hours per Resident per Day
1.64310
Adjusted RN Staffing Hours per Resident per Day
0.41270
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89086
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
16
Cycle 1 Standard Survey Health Date
2015-04-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-05-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
33.33300
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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