Illinois Knights Templar Home - Paxton Nursing Home
General Information
UPDATEFederal Provider Number
145449
Provider Name
ILLINOIS KNIGHTS TEMPLAR HOME
Provider Address
450 FULTON STREET P O BOX 49
PAXTON, IL 60957
PAXTON, IL 60957
Provider Phone Number
2173792116
Provider SSA County
350
Provider County Name
Ford
Ownership Type
Non profit - Corporation
Number of Certified Beds
75
Number of Residents in Certified Beds
53
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ILLINOIS KNIGHTS TEMPLAR HOME FOR THE AGED INFIRM
Date First Approved to Provide Medicare and Medicaid services
1982-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.96604
Reported LPN Staffing Hours per Resident per Day
0.36132
Reported RN Staffing Hours per Resident per Day
0.89434
Reported Licensed Staffing Hours per Resident per Day
1.25566
Reported Total Nurse Staffing Hours per Resident per Day
3.22170
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01981
Expected CNA Staffing Hours per Resident per Day
2.42518
Expected LPN Staffing Hours per Resident per Day
0.60451
Expected RN Staffing Hours per Resident per Day
1.02396
Expected Total Nurse Staffing Hours per Resident per Day
4.05364
Adjusted CNA Staffing Hours per Resident per Day
1.98916
Adjusted LPN Staffing Hours per Resident per Day
0.49610
Adjusted RN Staffing Hours per Resident per Day
0.65262
Adjusted Total Nurse Staffing Hours per Resident per Day
3.20362
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-02-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
221
Cycle 3 Standard Health Survey Date
2013-05-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
221
Total Weighted Health Survey Score
74.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
7833
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Heartland Of Paxton
1001 East Pells Street |
PAXTON IL 60957 | 0.7 mile away
Paxton Healthcare And Rehab
1240 North Market Street |
PAXTON IL 60957 | 1.9 miles away
Heritage Health-gibson City
620 East First Street |
GIBSON CITY IL 60936 | 14.4 miles away
Gibson Community Hsp Annex
430 East 19th |
GIBSON CITY IL 60936 | 14.5 miles away
Piper City Rehab & Living Center
600 Maple Street |
PIPER CITY IL 60959 | 21.4 miles away
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