University Nursing & Rehabilitation - Edwardsville Nursing Home
General Information
UPDATEFederal Provider Number
145985
Provider Name
UNIVERSITY NURSING & REHABILITATION
Provider Address
UNIVERSITY DRIVE
EDWARDSVILLE, IL 62025
EDWARDSVILLE, IL 62025
Provider Phone Number
(618) 656-1081
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EDWARDSVILLE HEALTH CARE CENTER INVESTORS LLC
Date First Approved to Provide Medicare and Medicaid services
2000-03-03
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
2.28125
Reported LPN Staffing Hours per Resident per Day
0.73125
Reported RN Staffing Hours per Resident per Day
0.65500
Reported Licensed Staffing Hours per Resident per Day
1.38625
Reported Total Nurse Staffing Hours per Resident per Day
3.66750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01625
Expected CNA Staffing Hours per Resident per Day
2.49130
Expected LPN Staffing Hours per Resident per Day
0.62255
Expected RN Staffing Hours per Resident per Day
1.08809
Expected Total Nurse Staffing Hours per Resident per Day
4.20193
Adjusted CNA Staffing Hours per Resident per Day
2.24682
Adjusted LPN Staffing Hours per Resident per Day
0.97493
Adjusted RN Staffing Hours per Resident per Day
0.44980
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51822
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-01-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
16.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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