Manor Court Of Princeton - Princeton Nursing Home

General Information

UPDATE
Federal Provider Number
146083
Provider Name
MANOR COURT OF PRINCETON
Provider Address
140 NORTH SIXTH STREET
PRINCETON, IL 61356
Provider Phone Number
(815) 875-6600
Provider SSA County
50
Provider County Name
Bureau
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
125
Number of Residents in Certified Beds
93
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
2005-03-30
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
3.07097
Reported LPN Staffing Hours per Resident per Day
0.54677
Reported RN Staffing Hours per Resident per Day
0.65108
Reported Licensed Staffing Hours per Resident per Day
1.19785
Reported Total Nurse Staffing Hours per Resident per Day
4.26882
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10538
Expected CNA Staffing Hours per Resident per Day
2.50546
Expected LPN Staffing Hours per Resident per Day
0.55635
Expected RN Staffing Hours per Resident per Day
0.83974
Expected Total Nurse Staffing Hours per Resident per Day
3.90156
Adjusted CNA Staffing Hours per Resident per Day
3.00752
Adjusted LPN Staffing Hours per Resident per Day
0.81570
Adjusted RN Staffing Hours per Resident per Day
0.57933
Adjusted Total Nurse Staffing Hours per Resident per Day
4.41034
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
2015-04-03
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
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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