Phoenix Rehabilitation & Nursing Care - Carmi Nursing Home
General Information
UPDATEFederal Provider Number
146124
Provider Name
PHOENIX REHABILITATION & NURSING CARE
Provider Address
615 WEST WEBB STREET
CARMI, IL 62821
CARMI, IL 62821
Provider Phone Number
(618) 382-7270
Provider SSA County
987
Provider County Name
White
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
17
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PHOENIX REHABILITATION AND NURSING CARE, INC. NFP
Date First Approved to Provide Medicare and Medicaid services
2008-07-14
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
1
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
2.19706
Reported LPN Staffing Hours per Resident per Day
1.15588
Reported RN Staffing Hours per Resident per Day
0.82353
Reported Licensed Staffing Hours per Resident per Day
1.97941
Reported Total Nurse Staffing Hours per Resident per Day
4.17647
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06765
Expected CNA Staffing Hours per Resident per Day
2.56837
Expected LPN Staffing Hours per Resident per Day
0.60647
Expected RN Staffing Hours per Resident per Day
1.05102
Expected Total Nurse Staffing Hours per Resident per Day
4.22586
Adjusted CNA Staffing Hours per Resident per Day
2.09897
Adjusted LPN Staffing Hours per Resident per Day
1.58191
Adjusted RN Staffing Hours per Resident per Day
0.58547
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98379
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-11-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
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
20
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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