Apostolic Christian Restmor - Morton Nursing Home
General Information
UPDATEFederal Provider Number
145436
Provider Name
APOSTOLIC CHRISTIAN RESTMOR
Provider Address
1500 PARKSIDE AVENUE
MORTON, IL 61550
MORTON, IL 61550
Provider Phone Number
(309) 284-1400
Provider SSA County
980
Provider County Name
Tazewell
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
56
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
APOSTOLIC CHRISTIAN RESTMOR INC
Date First Approved to Provide Medicare and Medicaid services
1982-03-01
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
2
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
3.21442
Reported LPN Staffing Hours per Resident per Day
0.64904
Reported RN Staffing Hours per Resident per Day
0.98173
Reported Licensed Staffing Hours per Resident per Day
1.63077
Reported Total Nurse Staffing Hours per Resident per Day
4.84519
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01635
Expected CNA Staffing Hours per Resident per Day
2.59219
Expected LPN Staffing Hours per Resident per Day
0.62236
Expected RN Staffing Hours per Resident per Day
0.87923
Expected Total Nurse Staffing Hours per Resident per Day
4.09378
Adjusted CNA Staffing Hours per Resident per Day
3.04268
Adjusted LPN Staffing Hours per Resident per Day
0.86558
Adjusted RN Staffing Hours per Resident per Day
0.83431
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77077
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
4
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
4.66700
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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