Snyder Village - Metamora Nursing Home
General Information
UPDATEFederal Provider Number
145596
Provider Name
SNYDER VILLAGE
Provider Address
1200 EAST PARTRIDGE
METAMORA, IL 61548
METAMORA, IL 61548
Provider Phone Number
3093674300
Provider SSA County
992
Provider County Name
Woodford
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
METAMORA COMMUNITY NURSING HOME
Date First Approved to Provide Medicare and Medicaid services
1988-08-25
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.10422
Reported LPN Staffing Hours per Resident per Day
0.76566
Reported RN Staffing Hours per Resident per Day
1.20602
Reported Licensed Staffing Hours per Resident per Day
1.97169
Reported Total Nurse Staffing Hours per Resident per Day
5.07590
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03675
Expected CNA Staffing Hours per Resident per Day
2.45720
Expected LPN Staffing Hours per Resident per Day
0.61299
Expected RN Staffing Hours per Resident per Day
1.07169
Expected Total Nurse Staffing Hours per Resident per Day
4.14188
Adjusted CNA Staffing Hours per Resident per Day
3.09980
Adjusted LPN Staffing Hours per Resident per Day
1.03672
Adjusted RN Staffing Hours per Resident per Day
0.84086
Adjusted Total Nurse Staffing Hours per Resident per Day
4.93990
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-03-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
25.33300
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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