Seminary Manor - Galesburg Nursing Home
General Information
UPDATEFederal Provider Number
145598
Provider Name
SEMINARY MANOR
Provider Address
2345 NORTH SEMINARY STREET
GALESBURG, IL 61401
GALESBURG, IL 61401
Provider Phone Number
(309) 344-1300
Provider SSA County
560
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
98
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
UNLIMITED DEVELOPMENT, INC
Date First Approved to Provide Medicare and Medicaid services
1988-11-04
Continuing Care Retirement Community
Y
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.93571
Reported LPN Staffing Hours per Resident per Day
0.78010
Reported RN Staffing Hours per Resident per Day
0.50204
Reported Licensed Staffing Hours per Resident per Day
1.28214
Reported Total Nurse Staffing Hours per Resident per Day
4.21785
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05561
Expected CNA Staffing Hours per Resident per Day
2.51323
Expected LPN Staffing Hours per Resident per Day
0.62454
Expected RN Staffing Hours per Resident per Day
1.01641
Expected Total Nurse Staffing Hours per Resident per Day
4.15419
Adjusted CNA Staffing Hours per Resident per Day
2.86617
Adjusted LPN Staffing Hours per Resident per Day
1.03673
Adjusted RN Staffing Hours per Resident per Day
0.36907
Adjusted Total Nurse Staffing Hours per Resident per Day
4.09267
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
28
Cycle 3 Standard Health Survey Date
2012-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
15.33300
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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