Champaign County Nursing Home - Urbana Nursing Home

General Information

UPDATE
Federal Provider Number
145364
Provider Name
CHAMPAIGN COUNTY NURSING HOME
Provider Address
500 SOUTH ART BARTELL DRIVE
URBANA, IL 61802
Provider Phone Number
(217) 384-3784
Provider SSA County
90
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
243
Number of Residents in Certified Beds
203
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAMPAIGN COUNTY
Date First Approved to Provide Medicare and Medicaid services
1978-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.63005
Reported LPN Staffing Hours per Resident per Day
0.52217
Reported RN Staffing Hours per Resident per Day
0.56872
Reported Licensed Staffing Hours per Resident per Day
1.09089
Reported Total Nurse Staffing Hours per Resident per Day
3.72094
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02808
Expected CNA Staffing Hours per Resident per Day
2.35748
Expected LPN Staffing Hours per Resident per Day
0.59142
Expected RN Staffing Hours per Resident per Day
0.90633
Expected Total Nurse Staffing Hours per Resident per Day
3.85524
Adjusted CNA Staffing Hours per Resident per Day
2.73739
Adjusted LPN Staffing Hours per Resident per Day
0.73281
Adjusted RN Staffing Hours per Resident per Day
0.46886
Adjusted Total Nurse Staffing Hours per Resident per Day
3.89048
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
56
Cycle 1 Total Health Score
168
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
118.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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