Scott County Nursing Center - Winchester Nursing Home

General Information

UPDATE
Federal Provider Number
146106
Provider Name
SCOTT COUNTY NURSING CENTER
Provider Address
RURAL ROUTE 2
WINCHESTER, IL 62694
Provider Phone Number
2177423101
Provider SSA County
940
Provider County Name
Scott
Ownership Type
Government - County
Number of Certified Beds
49
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SCOTT COUNTY NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
2006-10-16
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.01375
Reported LPN Staffing Hours per Resident per Day
1.24625
Reported RN Staffing Hours per Resident per Day
0.33125
Reported Licensed Staffing Hours per Resident per Day
1.57750
Reported Total Nurse Staffing Hours per Resident per Day
4.59125
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02000
Expected CNA Staffing Hours per Resident per Day
2.32039
Expected LPN Staffing Hours per Resident per Day
0.54413
Expected RN Staffing Hours per Resident per Day
0.79908
Expected Total Nurse Staffing Hours per Resident per Day
3.66360
Adjusted CNA Staffing Hours per Resident per Day
3.18690
Adjusted LPN Staffing Hours per Resident per Day
1.90098
Adjusted RN Staffing Hours per Resident per Day
0.30975
Adjusted Total Nurse Staffing Hours per Resident per Day
5.05156
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-06
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
11
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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