Randolph County Care Center - Sparta Nursing Home
General Information
UPDATEFederal Provider Number
145406
Provider Name
RANDOLPH COUNTY CARE CENTER
Provider Address
312 WEST BELMONT
SPARTA, IL 62286
SPARTA, IL 62286
Provider Phone Number
(618) 443-4351
Provider SSA County
870
Provider County Name
Randolph
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
100
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF RANDOLPH NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1980-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.08548
Reported LPN Staffing Hours per Resident per Day
0.57177
Reported RN Staffing Hours per Resident per Day
0.33145
Reported Licensed Staffing Hours per Resident per Day
0.90323
Reported Total Nurse Staffing Hours per Resident per Day
2.98870
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02339
Expected CNA Staffing Hours per Resident per Day
2.34649
Expected LPN Staffing Hours per Resident per Day
0.59712
Expected RN Staffing Hours per Resident per Day
0.92832
Expected Total Nurse Staffing Hours per Resident per Day
3.87193
Adjusted CNA Staffing Hours per Resident per Day
2.18076
Adjusted LPN Staffing Hours per Resident per Day
0.79476
Adjusted RN Staffing Hours per Resident per Day
0.26678
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11140
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-05-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-04-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
15.33300
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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