Meadow Manor Skilled Nursing & Rehab - Taylorville Nursing Home
General Information
UPDATEFederal Provider Number
146048
Provider Name
MEADOW MANOR SKILLED NURSING & REHAB
Provider Address
800 MCADAM DR
TAYLORVILLE, IL 62568
TAYLORVILLE, IL 62568
Provider Phone Number
(217) 824-2277
Provider SSA County
100
Provider County Name
Christian
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT CARE MEADOW MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2003-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.88750
Reported LPN Staffing Hours per Resident per Day
1.02333
Reported RN Staffing Hours per Resident per Day
0.61250
Reported Licensed Staffing Hours per Resident per Day
1.63583
Reported Total Nurse Staffing Hours per Resident per Day
3.52333
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17750
Expected CNA Staffing Hours per Resident per Day
2.43280
Expected LPN Staffing Hours per Resident per Day
0.68755
Expected RN Staffing Hours per Resident per Day
1.16588
Expected Total Nurse Staffing Hours per Resident per Day
4.28623
Adjusted CNA Staffing Hours per Resident per Day
1.90372
Adjusted LPN Staffing Hours per Resident per Day
1.23535
Adjusted RN Staffing Hours per Resident per Day
0.39254
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31345
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-21
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
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2013-03-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
1
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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