Imboden Creek Living Center - Decatur Nursing Home

General Information

UPDATE
Federal Provider Number
145945
Provider Name
IMBODEN CREEK LIVING CENTER
Provider Address
180 WEST IMBODEN
DECATUR, IL 62521
Provider Phone Number
(217) 422-6464
Provider SSA County
660
Provider County Name
Macon
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
95
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LIVING CENTERS INC
Date First Approved to Provide Medicare and Medicaid services
1997-10-01
Continuing Care Retirement Community
Y
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.98488
Reported LPN Staffing Hours per Resident per Day
0.82791
Reported RN Staffing Hours per Resident per Day
0.37965
Reported Licensed Staffing Hours per Resident per Day
1.20756
Reported Total Nurse Staffing Hours per Resident per Day
4.19244
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10640
Expected CNA Staffing Hours per Resident per Day
2.48340
Expected LPN Staffing Hours per Resident per Day
0.60903
Expected RN Staffing Hours per Resident per Day
0.97706
Expected Total Nurse Staffing Hours per Resident per Day
4.06949
Adjusted CNA Staffing Hours per Resident per Day
2.94918
Adjusted LPN Staffing Hours per Resident per Day
1.12830
Adjusted RN Staffing Hours per Resident per Day
0.29033
Adjusted Total Nurse Staffing Hours per Resident per Day
4.15269
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
92
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
46
Cycle 1 Total Health Score
138
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
93.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
Number of Fines
2
Total Amount of Fines in Dollars
4420
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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