Vandalia Rehab & Health Care C - Vandalia Nursing Home
General Information
UPDATEFederal Provider Number
145903
Provider Name
VANDALIA REHAB & HEALTH CARE C
Provider Address
1500 WEST ST LOUIS AVENUE
VANDALIA, IL 62471
VANDALIA, IL 62471
Provider Phone Number
(618) 283-4262
Provider SSA County
340
Provider County Name
Fayette
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
116
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH & WELLNESS LLC
Date First Approved to Provide Medicare and Medicaid services
1996-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
2.31481
Reported LPN Staffing Hours per Resident per Day
0.72222
Reported RN Staffing Hours per Resident per Day
0.51296
Reported Licensed Staffing Hours per Resident per Day
1.23519
Reported Total Nurse Staffing Hours per Resident per Day
3.54999
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02130
Expected CNA Staffing Hours per Resident per Day
2.46387
Expected LPN Staffing Hours per Resident per Day
0.73598
Expected RN Staffing Hours per Resident per Day
1.05164
Expected Total Nurse Staffing Hours per Resident per Day
4.25149
Adjusted CNA Staffing Hours per Resident per Day
2.30526
Adjusted LPN Staffing Hours per Resident per Day
0.81448
Adjusted RN Staffing Hours per Resident per Day
0.36446
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36580
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-06-21
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
8
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
38.00000
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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Nursiong Homes Nearby
Fayette County Hospital
650 W Taylor St |
VANDALIA IL 62471 | 1.1 miles away