Pleasant Hill Healthcare - Girard Nursing Home
General Information
UPDATEFederal Provider Number
146135
Provider Name
PLEASANT HILL HEALTHCARE
Provider Address
1010 WEST NORTH STREET
GIRARD, IL 62640
GIRARD, IL 62640
Provider Phone Number
(217) 627-2181
Provider SSA County
670
Provider County Name
Macoupin
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
98
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRETHREN HOME OF GIRARD
Date First Approved to Provide Medicare and Medicaid services
2009-05-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53444
Reported LPN Staffing Hours per Resident per Day
0.65556
Reported RN Staffing Hours per Resident per Day
0.87556
Reported Licensed Staffing Hours per Resident per Day
1.53111
Reported Total Nurse Staffing Hours per Resident per Day
4.06556
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00611
Expected CNA Staffing Hours per Resident per Day
2.41396
Expected LPN Staffing Hours per Resident per Day
0.53375
Expected RN Staffing Hours per Resident per Day
0.78048
Expected Total Nurse Staffing Hours per Resident per Day
3.72820
Adjusted CNA Staffing Hours per Resident per Day
2.57616
Adjusted LPN Staffing Hours per Resident per Day
1.01942
Adjusted RN Staffing Hours per Resident per Day
0.83822
Adjusted Total Nurse Staffing Hours per Resident per Day
4.39566
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
2014-10-23
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
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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