Momence Meadows Nursing & Rehab - Momence Nursing Home
General Information
UPDATEFederal Provider Number
145713
Provider Name
MOMENCE MEADOWS NURSING & REHAB
Provider Address
500 SOUTH WALNUT
MOMENCE, IL 60954
MOMENCE, IL 60954
Provider Phone Number
(815) 472-2423
Provider SSA County
540
Provider County Name
Kankakee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOMENCE MEADOWS NURSING & REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1992-03-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.46443
Reported LPN Staffing Hours per Resident per Day
0.37268
Reported RN Staffing Hours per Resident per Day
0.78763
Reported Licensed Staffing Hours per Resident per Day
1.16031
Reported Total Nurse Staffing Hours per Resident per Day
2.62474
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05876
Expected CNA Staffing Hours per Resident per Day
2.56181
Expected LPN Staffing Hours per Resident per Day
0.72254
Expected RN Staffing Hours per Resident per Day
1.25580
Expected Total Nurse Staffing Hours per Resident per Day
4.54016
Adjusted CNA Staffing Hours per Resident per Day
1.40263
Adjusted LPN Staffing Hours per Resident per Day
0.42811
Adjusted RN Staffing Hours per Resident per Day
0.46864
Adjusted Total Nurse Staffing Hours per Resident per Day
2.33033
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
120
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
120
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2013-11-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
116
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
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
102.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
34
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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