Aperion Care Jacksonville - Jacksonville Nursing Home
General Information
UPDATEFederal Provider Number
145928
Provider Name
APERION CARE JACKSONVILLE
Provider Address
1021 NORTH CHURCH STREET
JACKSONVILLE, IL 62650
JACKSONVILLE, IL 62650
Provider Phone Number
(217) 245-4174
Provider SSA County
770
Provider County Name
Morgan
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
113
Number of Residents in Certified Beds
58
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORTH CHURCH NURSING & REHAB, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-04-15
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.77672
Reported LPN Staffing Hours per Resident per Day
0.80690
Reported RN Staffing Hours per Resident per Day
0.19052
Reported Licensed Staffing Hours per Resident per Day
0.99741
Reported Total Nurse Staffing Hours per Resident per Day
2.77414
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00948
Expected CNA Staffing Hours per Resident per Day
2.53809
Expected LPN Staffing Hours per Resident per Day
0.60797
Expected RN Staffing Hours per Resident per Day
0.84586
Expected Total Nurse Staffing Hours per Resident per Day
3.99193
Adjusted CNA Staffing Hours per Resident per Day
1.71764
Adjusted LPN Staffing Hours per Resident per Day
1.10157
Adjusted RN Staffing Hours per Resident per Day
0.16830
Adjusted Total Nurse Staffing Hours per Resident per Day
2.80122
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-12-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
13
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
152
Cycle 3 Standard Health Survey Date
2012-10-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
152
Total Weighted Health Survey Score
92.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
Number of Fines
1
Total Amount of Fines in Dollars
26400
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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