Knox County Nursing Home - Knoxville Nursing Home
General Information
UPDATEFederal Provider Number
145697
Provider Name
KNOX COUNTY NURSING HOME
Provider Address
800 NORTH MARKET STREET
KNOXVILLE, IL 61448
KNOXVILLE, IL 61448
Provider Phone Number
(309) 289-2338
Provider SSA County
560
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
169
Number of Residents in Certified Beds
141
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF KNOX
Date First Approved to Provide Medicare and Medicaid services
1991-09-01
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
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
3.18262
Reported LPN Staffing Hours per Resident per Day
0.90957
Reported RN Staffing Hours per Resident per Day
0.53546
Reported Licensed Staffing Hours per Resident per Day
1.44504
Reported Total Nurse Staffing Hours per Resident per Day
4.62765
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01560
Expected CNA Staffing Hours per Resident per Day
2.53264
Expected LPN Staffing Hours per Resident per Day
0.62803
Expected RN Staffing Hours per Resident per Day
0.89872
Expected Total Nurse Staffing Hours per Resident per Day
4.05939
Adjusted CNA Staffing Hours per Resident per Day
3.08342
Adjusted LPN Staffing Hours per Resident per Day
1.20209
Adjusted RN Staffing Hours per Resident per Day
0.44518
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59517
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-05-31
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
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
8
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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