Illinois Nursing Homes >> Macomb Nursing Homes >> Countryview Care Center-macomb

Countryview Care Center-macomb - Macomb Nursing Home

General Information

UPDATE
Federal Provider Number
146080
Provider Name
COUNTRYVIEW CARE CENTER-MACOMB
Provider Address
400 WEST GRANT STREET
MACOMB, IL 61455
Provider Phone Number
(309) 837-2386
Provider SSA County
630
Provider County Name
Mc Donough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
52
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2005-06-01
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
1
QM Rating Footnote
Staffing Rating
2
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
1.84904
Reported LPN Staffing Hours per Resident per Day
0.46154
Reported RN Staffing Hours per Resident per Day
0.58654
Reported Licensed Staffing Hours per Resident per Day
1.04808
Reported Total Nurse Staffing Hours per Resident per Day
2.89712
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01635
Expected CNA Staffing Hours per Resident per Day
2.20184
Expected LPN Staffing Hours per Resident per Day
0.59070
Expected RN Staffing Hours per Resident per Day
0.85392
Expected Total Nurse Staffing Hours per Resident per Day
3.64646
Adjusted CNA Staffing Hours per Resident per Day
2.06055
Adjusted LPN Staffing Hours per Resident per Day
0.64851
Adjusted RN Staffing Hours per Resident per Day
0.51324
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20256
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
597
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
299
Cycle 1 Total Health Score
896
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
2013-11-21
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
454.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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