St Clara's Manor - Lincoln Nursing Home

General Information

UPDATE
Federal Provider Number
145720
Provider Name
ST CLARA'S MANOR
Provider Address
200 FIFTH STREET
LINCOLN, IL 62656
Provider Phone Number
(217) 735-1507
Provider SSA County
620
Provider County Name
Logan
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
140
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST. CLARA'S MANOR
Date First Approved to Provide Medicare and Medicaid services
1992-04-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.04787
Reported LPN Staffing Hours per Resident per Day
0.85053
Reported RN Staffing Hours per Resident per Day
0.45000
Reported Licensed Staffing Hours per Resident per Day
1.30053
Reported Total Nurse Staffing Hours per Resident per Day
3.34840
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01755
Expected CNA Staffing Hours per Resident per Day
2.37066
Expected LPN Staffing Hours per Resident per Day
0.61391
Expected RN Staffing Hours per Resident per Day
1.01451
Expected Total Nurse Staffing Hours per Resident per Day
3.99909
Adjusted CNA Staffing Hours per Resident per Day
2.11960
Adjusted LPN Staffing Hours per Resident per Day
1.14991
Adjusted RN Staffing Hours per Resident per Day
0.33143
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37504
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
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
12
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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