Champaign Urbana Nrsg & Rehab - Savoy Nursing Home
General Information
UPDATEFederal Provider Number
145439
Provider Name
CHAMPAIGN URBANA NRSG & REHAB
Provider Address
302 WEST BURWASH
SAVOY, IL 61874
SAVOY, IL 61874
Provider Phone Number
(217) 402-9700
Provider SSA County
90
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
213
Number of Residents in Certified Beds
131
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHAMPAIGN URBANA NURSING AND REHAB, L.P.
Date First Approved to Provide Medicare and Medicaid services
1982-01-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.17405
Reported LPN Staffing Hours per Resident per Day
0.91603
Reported RN Staffing Hours per Resident per Day
0.62137
Reported Licensed Staffing Hours per Resident per Day
1.53740
Reported Total Nurse Staffing Hours per Resident per Day
3.71145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08130
Expected CNA Staffing Hours per Resident per Day
2.41067
Expected LPN Staffing Hours per Resident per Day
0.68905
Expected RN Staffing Hours per Resident per Day
1.14611
Expected Total Nurse Staffing Hours per Resident per Day
4.24582
Adjusted CNA Staffing Hours per Resident per Day
2.21286
Adjusted LPN Staffing Hours per Resident per Day
1.10341
Adjusted RN Staffing Hours per Resident per Day
0.40510
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52358
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
16
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
144
Cycle 1 Standard Survey Health Date
2014-10-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
144
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2013-09-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
12
Cycle 3 Health Deficiency Score
108
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
108
Total Weighted Health Survey Score
124.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
48
Number of Fines
2
Total Amount of Fines in Dollars
3640
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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