Washington Christian Village - Washington Nursing Home

General Information

UPDATE
Federal Provider Number
145000
Provider Name
WASHINGTON CHRISTIAN VILLAGE
Provider Address
1201 NEWCASTLE
WASHINGTON, IL 61571
Provider Phone Number
3094443161
Provider SSA County
980
Provider County Name
Tazewell
Ownership Type
Non profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHRISTIAN HOMES, INC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.66941
Reported LPN Staffing Hours per Resident per Day
0.43118
Reported RN Staffing Hours per Resident per Day
0.96176
Reported Licensed Staffing Hours per Resident per Day
1.39294
Reported Total Nurse Staffing Hours per Resident per Day
4.06235
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06235
Expected CNA Staffing Hours per Resident per Day
2.49751
Expected LPN Staffing Hours per Resident per Day
0.62785
Expected RN Staffing Hours per Resident per Day
1.05085
Expected Total Nurse Staffing Hours per Resident per Day
4.17621
Adjusted CNA Staffing Hours per Resident per Day
2.62259
Adjusted LPN Staffing Hours per Resident per Day
0.57001
Adjusted RN Staffing Hours per Resident per Day
0.68385
Adjusted Total Nurse Staffing Hours per Resident per Day
3.92101
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
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
20
Cycle 2 Standard Health Survey Date
2014-01-09
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
8
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
46.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
16
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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Morton Villa Hlth & Rehab Ctr

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Timbercreek Rehab & Healthcare Center

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Hallmark House Nursing Center

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