Manor Court Of Peru - Peru Nursing Home

General Information

UPDATE
Federal Provider Number
146091
Provider Name
MANOR COURT OF PERU
Provider Address
3230 BECKER DRIVE
PERU, IL 61354
Provider Phone Number
8152201400
Provider SSA County
580
Provider County Name
La Salle
Ownership Type
Non profit - Corporation
Number of Certified Beds
104
Number of Residents in Certified Beds
90
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
2005-08-19
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.93722
Reported LPN Staffing Hours per Resident per Day
0.48556
Reported RN Staffing Hours per Resident per Day
1.19722
Reported Licensed Staffing Hours per Resident per Day
1.68278
Reported Total Nurse Staffing Hours per Resident per Day
4.62000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17444
Expected CNA Staffing Hours per Resident per Day
2.72427
Expected LPN Staffing Hours per Resident per Day
0.78787
Expected RN Staffing Hours per Resident per Day
1.43395
Expected Total Nurse Staffing Hours per Resident per Day
4.94609
Adjusted CNA Staffing Hours per Resident per Day
2.64550
Adjusted LPN Staffing Hours per Resident per Day
0.51153
Adjusted RN Staffing Hours per Resident per Day
0.62385
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76515
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
32
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-01-30
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
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
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
25.33300
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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