Montgomery Nursing & Rehab Ctr - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
145483
Provider Name
MONTGOMERY NURSING & REHAB CTR
Provider Address
9086 IL ROUTE 127, P O BOX 309
HILLSBORO, IL 62049
HILLSBORO, IL 62049
Provider Phone Number
(217) 532-6126
Provider SSA County
760
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
110
Number of Residents in Certified Beds
102
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1984-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.98480
Reported LPN Staffing Hours per Resident per Day
0.53235
Reported RN Staffing Hours per Resident per Day
0.49020
Reported Licensed Staffing Hours per Resident per Day
1.02255
Reported Total Nurse Staffing Hours per Resident per Day
4.00735
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02157
Expected CNA Staffing Hours per Resident per Day
2.57401
Expected LPN Staffing Hours per Resident per Day
0.59841
Expected RN Staffing Hours per Resident per Day
0.86635
Expected Total Nurse Staffing Hours per Resident per Day
4.03878
Adjusted CNA Staffing Hours per Resident per Day
2.84529
Adjusted LPN Staffing Hours per Resident per Day
0.73837
Adjusted RN Staffing Hours per Resident per Day
0.42278
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99953
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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