Colonial Manor - Danville Nursing Home
General Information
UPDATEFederal Provider Number
145183
Provider Name
COLONIAL MANOR
Provider Address
620 WARRINGTON AVENUE
DANVILLE, IL 61832
DANVILLE, IL 61832
Provider Phone Number
(217) 446-0660
Provider SSA County
982
Provider County Name
Vermilion
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DANVILLE JOINT VENTURES, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1968-04-02
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.07055
Reported LPN Staffing Hours per Resident per Day
0.62466
Reported RN Staffing Hours per Resident per Day
0.98562
Reported Licensed Staffing Hours per Resident per Day
1.61027
Reported Total Nurse Staffing Hours per Resident per Day
3.68083
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07808
Expected CNA Staffing Hours per Resident per Day
2.46853
Expected LPN Staffing Hours per Resident per Day
0.65895
Expected RN Staffing Hours per Resident per Day
1.17325
Expected Total Nurse Staffing Hours per Resident per Day
4.30073
Adjusted CNA Staffing Hours per Resident per Day
2.05811
Adjusted LPN Staffing Hours per Resident per Day
0.78681
Adjusted RN Staffing Hours per Resident per Day
0.62770
Adjusted Total Nurse Staffing Hours per Resident per Day
3.44989
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
3
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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