Shawnee Rose Care Center - Harrisburg Nursing Home
General Information
UPDATEFederal Provider Number
145978
Provider Name
SHAWNEE ROSE CARE CENTER
Provider Address
1000 WEST SLOAN STREET
HARRISBURG, IL 62946
HARRISBURG, IL 62946
Provider Phone Number
(618) 252-0351
Provider SSA County
910
Provider County Name
Saline
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
45
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
1999-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.28667
Reported LPN Staffing Hours per Resident per Day
0.76222
Reported RN Staffing Hours per Resident per Day
0.59778
Reported Licensed Staffing Hours per Resident per Day
1.36000
Reported Total Nurse Staffing Hours per Resident per Day
3.64667
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01222
Expected CNA Staffing Hours per Resident per Day
2.48337
Expected LPN Staffing Hours per Resident per Day
0.56858
Expected RN Staffing Hours per Resident per Day
0.77602
Expected Total Nurse Staffing Hours per Resident per Day
3.82798
Adjusted CNA Staffing Hours per Resident per Day
2.25935
Adjusted LPN Staffing Hours per Resident per Day
1.11266
Adjusted RN Staffing Hours per Resident per Day
0.57558
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83998
Cycle 1 Total Number of Health Deficiencies
25
Cycle 1 Number of Standard Health Deficiencies
24
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
156
Cycle 1 Standard Survey Health Date
2015-03-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
156
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
93.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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