Oakview Hts Cont C & Rehab Ctr - Mount Carmel Nursing Home
General Information
UPDATEFederal Provider Number
145376
Provider Name
OAKVIEW HTS CONT C & REHAB CTR
Provider Address
R R 4 1320 WEST 9TH STREET
MOUNT CARMEL, IL 62863
MOUNT CARMEL, IL 62863
Provider Phone Number
6182634337
Provider SSA County
983
Provider County Name
Wabash
Ownership Type
Non profit - Church related
Number of Certified Beds
90
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GENERAL BAPTIST NURSING HOME OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.72500
Reported LPN Staffing Hours per Resident per Day
0.69551
Reported RN Staffing Hours per Resident per Day
0.68718
Reported Licensed Staffing Hours per Resident per Day
1.38269
Reported Total Nurse Staffing Hours per Resident per Day
3.10769
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06603
Expected CNA Staffing Hours per Resident per Day
2.47900
Expected LPN Staffing Hours per Resident per Day
0.55818
Expected RN Staffing Hours per Resident per Day
0.83227
Expected Total Nurse Staffing Hours per Resident per Day
3.86945
Adjusted CNA Staffing Hours per Resident per Day
1.70740
Adjusted LPN Staffing Hours per Resident per Day
1.03420
Adjusted RN Staffing Hours per Resident per Day
0.61694
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23735
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-03-21
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
13
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2013-01-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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