Morton Villa Hlth & Rehab Ctr - Morton Nursing Home
General Information
UPDATEFederal Provider Number
145248
Provider Name
MORTON VILLA HLTH & REHAB CTR
Provider Address
190 EAST QUEENWOOD ROAD
MORTON, IL 61550
MORTON, IL 61550
Provider Phone Number
(309) 266-9741
Provider SSA County
980
Provider County Name
Tazewell
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
106
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MORTON VILLA HEALTHCARE AND REHABILITATION CENTRE LLC
Date First Approved to Provide Medicare and Medicaid services
1973-02-06
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
1.79304
Reported LPN Staffing Hours per Resident per Day
0.61203
Reported RN Staffing Hours per Resident per Day
0.53544
Reported Licensed Staffing Hours per Resident per Day
1.14747
Reported Total Nurse Staffing Hours per Resident per Day
2.94051
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02278
Expected CNA Staffing Hours per Resident per Day
2.29820
Expected LPN Staffing Hours per Resident per Day
0.58299
Expected RN Staffing Hours per Resident per Day
0.91108
Expected Total Nurse Staffing Hours per Resident per Day
3.79227
Adjusted CNA Staffing Hours per Resident per Day
1.91436
Adjusted LPN Staffing Hours per Resident per Day
0.87135
Adjusted RN Staffing Hours per Resident per Day
0.43913
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12554
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-20
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-11-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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