Illinois Nursing Homes >> Prairie City Nursing Homes >> Prairie City Rehab & H C

Prairie City Rehab & H C - Prairie City Nursing Home

General Information

UPDATE
Federal Provider Number
146038
Provider Name
PRAIRIE CITY REHAB & H C
Provider Address
825 E MAIN STREET, RR #2, BOX 97
PRAIRIE CITY, IL 61470
Provider Phone Number
3097753313
Provider SSA County
630
Provider County Name
Mc Donough
Ownership Type
For profit - Corporation
Number of Certified Beds
47
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST HEALTH OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-01-01
Continuing Care Retirement Community
N
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
1.66538
Reported LPN Staffing Hours per Resident per Day
0.62308
Reported RN Staffing Hours per Resident per Day
3.01154
Reported Licensed Staffing Hours per Resident per Day
3.63462
Reported Total Nurse Staffing Hours per Resident per Day
5.30000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05577
Expected CNA Staffing Hours per Resident per Day
2.16334
Expected LPN Staffing Hours per Resident per Day
0.53916
Expected RN Staffing Hours per Resident per Day
0.86926
Expected Total Nurse Staffing Hours per Resident per Day
3.57175
Adjusted CNA Staffing Hours per Resident per Day
1.88891
Adjusted LPN Staffing Hours per Resident per Day
0.95919
Adjusted RN Staffing Hours per Resident per Day
2.58868
Adjusted Total Nurse Staffing Hours per Resident per Day
5.98131
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-05-15
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
56
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-06-27
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
115.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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