Manor Court Of Maryville - Maryville Nursing Home
General Information
UPDATEFederal Provider Number
145728
Provider Name
MANOR COURT OF MARYVILLE
Provider Address
6955 STATE ROUTE 162
MARYVILLE, IL 62062
MARYVILLE, IL 62062
Provider Phone Number
(618) 288-5999
Provider SSA County
680
Provider County Name
Madison
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
120
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNLIMITED DEVELOPMENT, INC
Date First Approved to Provide Medicare and Medicaid services
1992-03-19
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.90833
Reported LPN Staffing Hours per Resident per Day
0.47250
Reported RN Staffing Hours per Resident per Day
0.72333
Reported Licensed Staffing Hours per Resident per Day
1.19583
Reported Total Nurse Staffing Hours per Resident per Day
4.10416
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13292
Expected CNA Staffing Hours per Resident per Day
2.62332
Expected LPN Staffing Hours per Resident per Day
0.59115
Expected RN Staffing Hours per Resident per Day
0.89743
Expected Total Nurse Staffing Hours per Resident per Day
4.11190
Adjusted CNA Staffing Hours per Resident per Day
2.72028
Adjusted LPN Staffing Hours per Resident per Day
0.66341
Adjusted RN Staffing Hours per Resident per Day
0.60225
Adjusted Total Nurse Staffing Hours per Resident per Day
4.02331
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
32.66700
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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