Nature Trail Health Care Center - Mount Vernon Nursing Home
General Information
UPDATEFederal Provider Number
146021
Provider Name
NATURE TRAIL HEALTH CARE CENTER
Provider Address
1001 SOUTH 34TH STREET
MOUNT VERNON, IL 62864
MOUNT VERNON, IL 62864
Provider Phone Number
(618) 242-5700
Provider SSA County
490
Provider County Name
Jefferson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
74
Number of Residents in Certified Beds
50
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC MOUNT VERNON OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
2002-03-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
2.00700
Reported LPN Staffing Hours per Resident per Day
0.57600
Reported RN Staffing Hours per Resident per Day
0.75400
Reported Licensed Staffing Hours per Resident per Day
1.33000
Reported Total Nurse Staffing Hours per Resident per Day
3.33700
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02400
Expected CNA Staffing Hours per Resident per Day
2.45878
Expected LPN Staffing Hours per Resident per Day
0.65908
Expected RN Staffing Hours per Resident per Day
1.06841
Expected Total Nurse Staffing Hours per Resident per Day
4.18627
Adjusted CNA Staffing Hours per Resident per Day
2.00285
Adjusted LPN Staffing Hours per Resident per Day
0.72538
Adjusted RN Staffing Hours per Resident per Day
0.52731
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21315
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
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
16
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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