Southgate Health Care Center - Metropolis Nursing Home

General Information

UPDATE
Federal Provider Number
145386
Provider Name
SOUTHGATE HEALTH CARE CENTER
Provider Address
900 EAST NINTH STREET, PO BOX 843
METROPOLIS, IL 62960
Provider Phone Number
(618) 524-2683
Provider SSA County
720
Provider County Name
Massac
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHGATE HEALTH CARE CENTER, INC
Date First Approved to Provide Medicare and Medicaid services
1979-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.73405
Reported LPN Staffing Hours per Resident per Day
0.59655
Reported RN Staffing Hours per Resident per Day
0.50948
Reported Licensed Staffing Hours per Resident per Day
1.10603
Reported Total Nurse Staffing Hours per Resident per Day
3.84008
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00302
Expected CNA Staffing Hours per Resident per Day
2.54244
Expected LPN Staffing Hours per Resident per Day
0.61909
Expected RN Staffing Hours per Resident per Day
0.84938
Expected Total Nurse Staffing Hours per Resident per Day
4.01090
Adjusted CNA Staffing Hours per Resident per Day
2.63862
Adjusted LPN Staffing Hours per Resident per Day
0.79978
Adjusted RN Staffing Hours per Resident per Day
0.44819
Adjusted Total Nurse Staffing Hours per Resident per Day
3.85922
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-05-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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