Mclean County Nursing Home - Normal Nursing Home

General Information

UPDATE
Federal Provider Number
145494
Provider Name
MCLEAN COUNTY NURSING HOME
Provider Address
901 NORTH MAIN
NORMAL, IL 61761
Provider Phone Number
(309) 888-5380
Provider SSA County
650
Provider County Name
Mc Lean
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
150
Number of Residents in Certified Beds
133
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF MCLEAN
Date First Approved to Provide Medicare and Medicaid services
1984-06-21
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
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
2.14812
Reported LPN Staffing Hours per Resident per Day
0.58308
Reported RN Staffing Hours per Resident per Day
0.37744
Reported Licensed Staffing Hours per Resident per Day
0.96053
Reported Total Nurse Staffing Hours per Resident per Day
3.10864
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00338
Expected CNA Staffing Hours per Resident per Day
2.27369
Expected LPN Staffing Hours per Resident per Day
0.54740
Expected RN Staffing Hours per Resident per Day
0.78520
Expected Total Nurse Staffing Hours per Resident per Day
3.60629
Adjusted CNA Staffing Hours per Resident per Day
2.31819
Adjusted LPN Staffing Hours per Resident per Day
0.88410
Adjusted RN Staffing Hours per Resident per Day
0.35917
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47465
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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