Meadows Mennonite Home - Chenoa Nursing Home
General Information
UPDATEFederal Provider Number
146109
Provider Name
MEADOWS MENNONITE HOME
Provider Address
24588 CHURCH STREET
CHENOA, IL 61726
CHENOA, IL 61726
Provider Phone Number
3097472702
Provider SSA County
650
Provider County Name
Mc Lean
Ownership Type
Non profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
100
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MEADOWS MENNONITE RETIREMENT COMMUNITY ASSOCIATION, INC.
Date First Approved to Provide Medicare and Medicaid services
2007-01-01
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
2.82350
Reported LPN Staffing Hours per Resident per Day
0.40850
Reported RN Staffing Hours per Resident per Day
0.62250
Reported Licensed Staffing Hours per Resident per Day
1.03100
Reported Total Nurse Staffing Hours per Resident per Day
3.85450
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.52854
Expected LPN Staffing Hours per Resident per Day
0.53705
Expected RN Staffing Hours per Resident per Day
0.80090
Expected Total Nurse Staffing Hours per Resident per Day
3.86649
Adjusted CNA Staffing Hours per Resident per Day
2.73993
Adjusted LPN Staffing Hours per Resident per Day
0.63133
Adjusted RN Staffing Hours per Resident per Day
0.58076
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01840
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
556
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
556
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-08-21
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
24
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
288.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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