Pleasant Meadows Senior Living - Chrisman Nursing Home
General Information
UPDATEFederal Provider Number
146037
Provider Name
PLEASANT MEADOWS SENIOR LIVING
Provider Address
P O BOX 375 400 W WASHINGTON
CHRISMAN, IL 61924
CHRISMAN, IL 61924
Provider Phone Number
(217) 269-2396
Provider SSA County
310
Provider County Name
Edgar
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
109
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT MEADOWS SENIOR LIVING LLC
Date First Approved to Provide Medicare and Medicaid services
2002-11-15
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
4
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
2.47969
Reported LPN Staffing Hours per Resident per Day
0.72240
Reported RN Staffing Hours per Resident per Day
0.98021
Reported Licensed Staffing Hours per Resident per Day
1.70260
Reported Total Nurse Staffing Hours per Resident per Day
4.18230
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02135
Expected CNA Staffing Hours per Resident per Day
2.47147
Expected LPN Staffing Hours per Resident per Day
0.65221
Expected RN Staffing Hours per Resident per Day
1.09901
Expected Total Nurse Staffing Hours per Resident per Day
4.22269
Adjusted CNA Staffing Hours per Resident per Day
2.46186
Adjusted LPN Staffing Hours per Resident per Day
0.91933
Adjusted RN Staffing Hours per Resident per Day
0.66643
Adjusted Total Nurse Staffing Hours per Resident per Day
3.99235
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
28.66700
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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