St Joseph's Medical Center - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
145590
Provider Name
ST JOSEPH'S MEDICAL CENTER
Provider Address
2200 EAST WASHINGTON STREET
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
Provider Phone Number
(309) 662-3311
Provider SSA County
650
Provider County Name
Mc Lean
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
12
Number of Residents in Certified Beds
7
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
ST. JOSEPH MEDICAL CENTER
Date First Approved to Provide Medicare and Medicaid services
1988-03-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
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
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.42857
Reported LPN Staffing Hours per Resident per Day
0.49286
Reported RN Staffing Hours per Resident per Day
5.95714
Reported Licensed Staffing Hours per Resident per Day
6.45000
Reported Total Nurse Staffing Hours per Resident per Day
9.87857
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20714
Expected CNA Staffing Hours per Resident per Day
2.33715
Expected LPN Staffing Hours per Resident per Day
0.63408
Expected RN Staffing Hours per Resident per Day
1.47812
Expected Total Nurse Staffing Hours per Resident per Day
4.44935
Adjusted CNA Staffing Hours per Resident per Day
3.59955
Adjusted LPN Staffing Hours per Resident per Day
0.64514
Adjusted RN Staffing Hours per Resident per Day
3.01138
Adjusted Total Nurse Staffing Hours per Resident per Day
8.94952
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
0
Cycle 2 Standard Health Survey Date
2014-01-08
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2013-03-18
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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