Swansea Rehab Health Care - Swansea Nursing Home

General Information

UPDATE
Federal Provider Number
145981
Provider Name
SWANSEA REHAB HEALTH CARE
Provider Address
1405 NORTH SECOND STREET
SWANSEA, IL 62226
Provider Phone Number
(618) 233-6625
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
69
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH CARE II INC
Date First Approved to Provide Medicare and Medicaid services
1999-04-26
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
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
2.08696
Reported LPN Staffing Hours per Resident per Day
0.69565
Reported RN Staffing Hours per Resident per Day
0.35652
Reported Licensed Staffing Hours per Resident per Day
1.05217
Reported Total Nurse Staffing Hours per Resident per Day
3.13913
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04928
Expected CNA Staffing Hours per Resident per Day
2.32848
Expected LPN Staffing Hours per Resident per Day
0.68265
Expected RN Staffing Hours per Resident per Day
0.92260
Expected Total Nurse Staffing Hours per Resident per Day
3.93373
Adjusted CNA Staffing Hours per Resident per Day
2.19920
Adjusted LPN Staffing Hours per Resident per Day
0.84581
Adjusted RN Staffing Hours per Resident per Day
0.28874
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21667
Cycle 1 Total Number of Health Deficiencies
24
Cycle 1 Number of Standard Health Deficiencies
18
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
152
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
152
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
152
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
152
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
152.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
23
Number of Fines
1
Total Amount of Fines in Dollars
7429
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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