Moweaqua Nrsg & Retirement Ctr - Moweaqua Nursing Home
General Information
UPDATEFederal Provider Number
146162
Provider Name
MOWEAQUA NRSG & RETIREMENT CTR
Provider Address
525 SOUTH MACON STREET
MOWEAQUA, IL 62550
MOWEAQUA, IL 62550
Provider Phone Number
(217) 768-3951
Provider SSA County
950
Provider County Name
Shelby
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
60
Number of Residents in Certified Beds
29
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MOWEAGUA NURSING HOME VENTURES, LLC
Date First Approved to Provide Medicare and Medicaid services
2013-06-21
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.01207
Reported LPN Staffing Hours per Resident per Day
0.67931
Reported RN Staffing Hours per Resident per Day
0.81897
Reported Licensed Staffing Hours per Resident per Day
1.49828
Reported Total Nurse Staffing Hours per Resident per Day
4.51035
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00690
Expected CNA Staffing Hours per Resident per Day
2.32325
Expected LPN Staffing Hours per Resident per Day
0.54128
Expected RN Staffing Hours per Resident per Day
0.81488
Expected Total Nurse Staffing Hours per Resident per Day
3.67940
Adjusted CNA Staffing Hours per Resident per Day
3.18120
Adjusted LPN Staffing Hours per Resident per Day
1.04165
Adjusted RN Staffing Hours per Resident per Day
0.75095
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94123
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
13
Cycle 1 Health Deficiency Score
216
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
216
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
24
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
122.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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