Snyders-vaughn Haven - Rushville Nursing Home

General Information

UPDATE
Federal Provider Number
145488
Provider Name
SNYDERS-VAUGHN HAVEN
Provider Address
135 SOUTH MORGAN STREET
RUSHVILLE, IL 62681
Provider Phone Number
2173223201
Provider SSA County
921
Provider County Name
Schuyler
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SNYDER'S VAUGHN-HAVEN, INC.
Date First Approved to Provide Medicare and Medicaid services
1984-07-01
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
5
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
2.89535
Reported LPN Staffing Hours per Resident per Day
1.09070
Reported RN Staffing Hours per Resident per Day
0.42674
Reported Licensed Staffing Hours per Resident per Day
1.51744
Reported Total Nurse Staffing Hours per Resident per Day
4.41279
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08605
Expected CNA Staffing Hours per Resident per Day
2.20615
Expected LPN Staffing Hours per Resident per Day
0.61048
Expected RN Staffing Hours per Resident per Day
0.88839
Expected Total Nurse Staffing Hours per Resident per Day
3.70502
Adjusted CNA Staffing Hours per Resident per Day
3.22024
Adjusted LPN Staffing Hours per Resident per Day
1.48290
Adjusted RN Staffing Hours per Resident per Day
0.35892
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80093
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
20
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
376
Cycle 2 Standard Health Survey Date
2014-03-17
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
188
Cycle 2 Total Health Score
188
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
198.00000
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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