White Hall Nursing & Rehab Center - White Hall Nursing Home
General Information
UPDATEFederal Provider Number
145519
Provider Name
WHITE HALL NURSING & REHAB CENTER
Provider Address
620 WEST BRIDGEPORT
WHITE HALL, IL 62092
WHITE HALL, IL 62092
Provider Phone Number
2173742144
Provider SSA County
390
Provider County Name
Greene
Ownership Type
For profit - Partnership
Number of Certified Beds
119
Number of Residents in Certified Beds
105
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WHITE HALL NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1985-04-01
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
5
Health Inspection Rating Footnote
QM Rating
4
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
2.34714
Reported LPN Staffing Hours per Resident per Day
0.59476
Reported RN Staffing Hours per Resident per Day
0.56571
Reported Licensed Staffing Hours per Resident per Day
1.16048
Reported Total Nurse Staffing Hours per Resident per Day
3.50761
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10952
Expected CNA Staffing Hours per Resident per Day
2.49922
Expected LPN Staffing Hours per Resident per Day
0.60766
Expected RN Staffing Hours per Resident per Day
0.94623
Expected Total Nurse Staffing Hours per Resident per Day
4.05311
Adjusted CNA Staffing Hours per Resident per Day
2.30439
Adjusted LPN Staffing Hours per Resident per Day
0.81238
Adjusted RN Staffing Hours per Resident per Day
0.44672
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48839
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
0
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-15
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
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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