Elms, The - Macomb Nursing Home
General Information
UPDATEFederal Provider Number
146033
Provider Name
ELMS, THE
Provider Address
1212 MADELYN AVENUE
MACOMB, IL 61455
MACOMB, IL 61455
Provider Phone Number
(309) 837-5482
Provider SSA County
630
Provider County Name
Mc Donough
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
98
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MCDONOUGH MCDONOUGH COUNTY CLERK
Date First Approved to Provide Medicare and Medicaid services
2002-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.41310
Reported LPN Staffing Hours per Resident per Day
0.66905
Reported RN Staffing Hours per Resident per Day
0.71369
Reported Licensed Staffing Hours per Resident per Day
1.38274
Reported Total Nurse Staffing Hours per Resident per Day
3.79584
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00357
Expected CNA Staffing Hours per Resident per Day
2.48919
Expected LPN Staffing Hours per Resident per Day
0.59994
Expected RN Staffing Hours per Resident per Day
0.79829
Expected Total Nurse Staffing Hours per Resident per Day
3.88741
Adjusted CNA Staffing Hours per Resident per Day
2.37870
Adjusted LPN Staffing Hours per Resident per Day
0.92561
Adjusted RN Staffing Hours per Resident per Day
0.66801
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93595
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-04-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
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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