Elmwood Nursing & Rehab Center - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
145858
Provider Name
ELMWOOD NURSING & REHAB CENTER
Provider Address
152 WILMA DRIVE
MARYVILLE, IL 62062
MARYVILLE, IL 62062
Provider Phone Number
(618) 344-7750
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD NURSING & REHABILITATION CENTER, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1996-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
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
2
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
2.04545
Reported LPN Staffing Hours per Resident per Day
0.60606
Reported RN Staffing Hours per Resident per Day
0.50227
Reported Licensed Staffing Hours per Resident per Day
1.10833
Reported Total Nurse Staffing Hours per Resident per Day
3.15378
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38939
Expected CNA Staffing Hours per Resident per Day
2.51795
Expected LPN Staffing Hours per Resident per Day
0.59299
Expected RN Staffing Hours per Resident per Day
0.97445
Expected Total Nurse Staffing Hours per Resident per Day
4.08539
Adjusted CNA Staffing Hours per Resident per Day
1.99326
Adjusted LPN Staffing Hours per Resident per Day
0.84829
Adjusted RN Staffing Hours per Resident per Day
0.38514
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11172
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-03-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
26
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
20
Cycle 3 Health Deficiency Score
606
Cycle 3 Standard Health Survey Date
2013-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
606
Total Weighted Health Survey Score
172.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
25
Number of Fines
1
Total Amount of Fines in Dollars
30681
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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