Sycamore Healthcare Center - Quincy Nursing Home
General Information
UPDATEFederal Provider Number
146163
Provider Name
SYCAMORE HEALTHCARE CENTER
Provider Address
720 SYCAMORE
QUINCY, IL 62301
QUINCY, IL 62301
Provider Phone Number
(217) 222-1480
Provider SSA County
0
Provider County Name
Adams
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
205
Number of Residents in Certified Beds
71
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SH CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-06-10
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
1
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
2.22324
Reported LPN Staffing Hours per Resident per Day
0.86901
Reported RN Staffing Hours per Resident per Day
0.49155
Reported Licensed Staffing Hours per Resident per Day
1.36056
Reported Total Nurse Staffing Hours per Resident per Day
3.58380
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.31871
Expected LPN Staffing Hours per Resident per Day
0.61211
Expected RN Staffing Hours per Resident per Day
0.99269
Expected Total Nurse Staffing Hours per Resident per Day
3.92351
Adjusted CNA Staffing Hours per Resident per Day
2.35268
Adjusted LPN Staffing Hours per Resident per Day
1.17836
Adjusted RN Staffing Hours per Resident per Day
0.36999
Adjusted Total Nurse Staffing Hours per Resident per Day
3.68190
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2015-05-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
82.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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