Sunrise Skilled Nursing & Rehab - Virden Nursing Home
General Information
UPDATEFederal Provider Number
145783
Provider Name
SUNRISE SKILLED NURSING & REHAB
Provider Address
333 SOUTH WRIGHTSMAN STREET
VIRDEN, IL 62690
VIRDEN, IL 62690
Provider Phone Number
(217) 965-4821
Provider SSA County
670
Provider County Name
Macoupin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE SUNRISE, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.14412
Reported LPN Staffing Hours per Resident per Day
0.67206
Reported RN Staffing Hours per Resident per Day
0.48897
Reported Licensed Staffing Hours per Resident per Day
1.16103
Reported Total Nurse Staffing Hours per Resident per Day
3.30515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08382
Expected CNA Staffing Hours per Resident per Day
2.45656
Expected LPN Staffing Hours per Resident per Day
0.60353
Expected RN Staffing Hours per Resident per Day
0.94740
Expected Total Nurse Staffing Hours per Resident per Day
4.00750
Adjusted CNA Staffing Hours per Resident per Day
2.14162
Adjusted LPN Staffing Hours per Resident per Day
0.92424
Adjusted RN Staffing Hours per Resident per Day
0.38564
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32445
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-05-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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