Oak Hill - Waterloo Nursing Home
General Information
UPDATEFederal Provider Number
145445
Provider Name
OAK HILL
Provider Address
623 HAMACHER STREET
WATERLOO, IL 62298
WATERLOO, IL 62298
Provider Phone Number
(618) 939-3488
Provider SSA County
750
Provider County Name
Monroe
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
131
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MONROE COUNTY
Date First Approved to Provide Medicare and Medicaid services
1982-04-19
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
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
2.31492
Reported LPN Staffing Hours per Resident per Day
0.59556
Reported RN Staffing Hours per Resident per Day
0.56452
Reported Licensed Staffing Hours per Resident per Day
1.16008
Reported Total Nurse Staffing Hours per Resident per Day
3.47500
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.44151
Expected LPN Staffing Hours per Resident per Day
0.52772
Expected RN Staffing Hours per Resident per Day
0.78702
Expected Total Nurse Staffing Hours per Resident per Day
3.75625
Adjusted CNA Staffing Hours per Resident per Day
2.32648
Adjusted LPN Staffing Hours per Resident per Day
0.93669
Adjusted RN Staffing Hours per Resident per Day
0.53596
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72908
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
4
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
6.66700
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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