Gibson Community Hsp Annex
Gibson Community Hsp Annex Information
| Facility Name | Gibson Community Hsp Annex |
| Location | 430 East 19th, Gibson City, IL 60936 |
| County (SSA Code) | Ford (350) |
| Phone Number | 217-784-2566 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 16 |
| Average Number of Residents | 12.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | GIBSON COMMUNITY HOSPITAL ASSOCIATION |
| Ownership Type | Non profit - Other |
| Date First Approved | 1999-05-19 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.19277 |
| Reported LPN Staffing Hours per Resident per Day | 1.04491 |
| Reported RN Staffing - Hours per Resident per Day | 1.19692 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.24183 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.4346 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00683 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.26089 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.58816 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.27517 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.12422 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.54587 |
| Total Weighted Health Survey Score for three cycles | 30.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-02-27 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 52 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-04-12 |
| Rating cycle 2 - Health Deficiency Score | 52 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-03-10 |
| Rating cycle 3 - Health Deficiency Score | 8 |
| Rating cycle 3 - Total Health Inspection Score | 8 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |