Terrace On The Park - Mascoutah Nursing Home
General Information
UPDATEFederal Provider Number
145785
Provider Name
TERRACE ON THE PARK
Provider Address
901 NORTH TENTH STREET
MASCOUTAH, IL 62258
MASCOUTAH, IL 62258
Provider Phone Number
6185662183
Provider SSA County
900
Provider County Name
St. Clair
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
40
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TERRACE ON THE PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1994-02-25
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
2.04625
Reported LPN Staffing Hours per Resident per Day
0.90500
Reported RN Staffing Hours per Resident per Day
0.48750
Reported Licensed Staffing Hours per Resident per Day
1.39250
Reported Total Nurse Staffing Hours per Resident per Day
3.43875
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02375
Expected CNA Staffing Hours per Resident per Day
2.29078
Expected LPN Staffing Hours per Resident per Day
0.59288
Expected RN Staffing Hours per Resident per Day
0.96812
Expected Total Nurse Staffing Hours per Resident per Day
3.85177
Adjusted CNA Staffing Hours per Resident per Day
2.19178
Adjusted LPN Staffing Hours per Resident per Day
1.26694
Adjusted RN Staffing Hours per Resident per Day
0.37626
Adjusted Total Nurse Staffing Hours per Resident per Day
3.59867
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-01-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-02-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
16
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-12-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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