Burgin Manor Of Olney, Inc. - Olney Nursing Home
General Information
UPDATEFederal Provider Number
145135
Provider Name
BURGIN MANOR OF OLNEY, INC.
Provider Address
900 928 EAST SCOTT
OLNEY, IL 62450
OLNEY, IL 62450
Provider Phone Number
(618) 395-1000
Provider SSA County
880
Provider County Name
Richland
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
157
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURGIN MANOR OF OLNEY INC
Date First Approved to Provide Medicare and Medicaid services
1970-07-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.36115
Reported LPN Staffing Hours per Resident per Day
0.49000
Reported RN Staffing Hours per Resident per Day
1.12423
Reported Licensed Staffing Hours per Resident per Day
1.61423
Reported Total Nurse Staffing Hours per Resident per Day
3.97538
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00923
Expected CNA Staffing Hours per Resident per Day
2.49935
Expected LPN Staffing Hours per Resident per Day
0.63239
Expected RN Staffing Hours per Resident per Day
0.95745
Expected Total Nurse Staffing Hours per Resident per Day
4.08919
Adjusted CNA Staffing Hours per Resident per Day
2.31803
Adjusted LPN Staffing Hours per Resident per Day
0.64311
Adjusted RN Staffing Hours per Resident per Day
0.87736
Adjusted Total Nurse Staffing Hours per Resident per Day
3.91871
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-03-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
58.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
2
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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