Manor Court Of Clinton - Clinton Nursing Home
General Information
UPDATEFederal Provider Number
146076
Provider Name
MANOR COURT OF CLINTON
Provider Address
1 PARK LANE WEST
CLINTON, IL 61727
CLINTON, IL 61727
Provider Phone Number
(217) 935-8500
Provider SSA County
180
Provider County Name
De Witt
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
124
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
2005-02-02
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
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
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48266
Reported LPN Staffing Hours per Resident per Day
0.77137
Reported RN Staffing Hours per Resident per Day
0.51250
Reported Licensed Staffing Hours per Resident per Day
1.28387
Reported Total Nurse Staffing Hours per Resident per Day
3.76653
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.54857
Expected LPN Staffing Hours per Resident per Day
0.64734
Expected RN Staffing Hours per Resident per Day
1.06923
Expected Total Nurse Staffing Hours per Resident per Day
4.26515
Adjusted CNA Staffing Hours per Resident per Day
2.39024
Adjusted LPN Staffing Hours per Resident per Day
0.98902
Adjusted RN Staffing Hours per Resident per Day
0.35815
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55967
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
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
36
Cycle 2 Standard Health Survey Date
2014-03-07
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
63.33300
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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