Odin Health Care Center - Odin Nursing Home
General Information
UPDATEFederal Provider Number
145649
Provider Name
ODIN HEALTH CARE CENTER
Provider Address
300 GREEN STREET
ODIN, IL 62870
ODIN, IL 62870
Provider Phone Number
6187756444
Provider SSA County
690
Provider County Name
Marion
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC ODIN OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-15
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.27824
Reported LPN Staffing Hours per Resident per Day
0.58294
Reported RN Staffing Hours per Resident per Day
0.60176
Reported Licensed Staffing Hours per Resident per Day
1.18471
Reported Total Nurse Staffing Hours per Resident per Day
3.46294
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05706
Expected CNA Staffing Hours per Resident per Day
2.38886
Expected LPN Staffing Hours per Resident per Day
0.59493
Expected RN Staffing Hours per Resident per Day
0.93893
Expected Total Nurse Staffing Hours per Resident per Day
3.92272
Adjusted CNA Staffing Hours per Resident per Day
2.34008
Adjusted LPN Staffing Hours per Resident per Day
0.81327
Adjusted RN Staffing Hours per Resident per Day
0.47888
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55844
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-04-24
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
38.00000
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
Nursiong Homes Nearby
Doctors Nursing And Rehab Center
1201 Hawthorn Road |
SALEM IL 62881 | 5.1 miles away
Twin Willows Nursing Center
1600 North Broadway, Po Box 370 |
SALEM IL 62881 | 6.1 miles away
Centralia Manor
1910 East Mccord Rte 161 East |
CENTRALIA IL 62801 | 7 miles away
Fireside House Of Centralia
1030 Martin Luther King Blvd |
CENTRALIA IL 62801 | 7.3 miles away
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