Symphony Of Lincoln - Lincoln Nursing Home

General Information

UPDATE
Federal Provider Number
145719
Provider Name
SYMPHONY OF LINCOLN
Provider Address
2202 NORTH KICKAPOO STREET
LINCOLN, IL 62656
Provider Phone Number
(217) 735-1538
Provider SSA County
620
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
126
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SYMPHONY MAPLE RIDGE LLC
Date First Approved to Provide Medicare and Medicaid services
1992-02-21
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.65163
Reported LPN Staffing Hours per Resident per Day
0.96413
Reported RN Staffing Hours per Resident per Day
0.80707
Reported Licensed Staffing Hours per Resident per Day
1.77120
Reported Total Nurse Staffing Hours per Resident per Day
4.42283
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01467
Expected CNA Staffing Hours per Resident per Day
2.47943
Expected LPN Staffing Hours per Resident per Day
0.77170
Expected RN Staffing Hours per Resident per Day
1.33082
Expected Total Nurse Staffing Hours per Resident per Day
4.58195
Adjusted CNA Staffing Hours per Resident per Day
2.62412
Adjusted LPN Staffing Hours per Resident per Day
1.03697
Adjusted RN Staffing Hours per Resident per Day
0.45314
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89092
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-01-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-02-06
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
16
Cycle 3 Number of Standard Health Deficiencies
12
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2013-03-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
96
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
7313
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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