Mount Vernon Health Care Center - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
14E812
Provider Name
MOUNT VERNON HEALTH CARE CENTER
Provider Address
#5 DOCTORS PARK
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
Provider Phone Number
(618) 242-1064
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
106
Number of Residents in Certified Beds
88
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-03-03
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
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
1.84091
Reported LPN Staffing Hours per Resident per Day
0.29943
Reported RN Staffing Hours per Resident per Day
0.73295
Reported Licensed Staffing Hours per Resident per Day
1.03239
Reported Total Nurse Staffing Hours per Resident per Day
2.87329
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01080
Expected CNA Staffing Hours per Resident per Day
2.31855
Expected LPN Staffing Hours per Resident per Day
0.52537
Expected RN Staffing Hours per Resident per Day
0.83926
Expected Total Nurse Staffing Hours per Resident per Day
3.68318
Adjusted CNA Staffing Hours per Resident per Day
1.94821
Adjusted LPN Staffing Hours per Resident per Day
0.47305
Adjusted RN Staffing Hours per Resident per Day
0.65255
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14455
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2015-03-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
53.33300
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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