United Methodist Village, North Campus - Lawrenceville Nursing Home
General Information
UPDATEFederal Provider Number
145722
Provider Name
UNITED METHODIST VILLAGE, NORTH CAMPUS
Provider Address
2101 JAMES STREET
LAWRENCEVILLE, IL 62439
LAWRENCEVILLE, IL 62439
Provider Phone Number
(618) 943-3444
Provider SSA County
590
Provider County Name
Lawrence
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
98
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLAGE HEALTH CARE MANAGEMENT LLC
Date First Approved to Provide Medicare and Medicaid services
1992-02-20
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
1
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
2.89113
Reported LPN Staffing Hours per Resident per Day
0.73790
Reported RN Staffing Hours per Resident per Day
0.85242
Reported Licensed Staffing Hours per Resident per Day
1.59032
Reported Total Nurse Staffing Hours per Resident per Day
4.48145
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01129
Expected CNA Staffing Hours per Resident per Day
2.47464
Expected LPN Staffing Hours per Resident per Day
0.60924
Expected RN Staffing Hours per Resident per Day
0.92967
Expected Total Nurse Staffing Hours per Resident per Day
4.01355
Adjusted CNA Staffing Hours per Resident per Day
2.86667
Adjusted LPN Staffing Hours per Resident per Day
1.00527
Adjusted RN Staffing Hours per Resident per Day
0.68512
Adjusted Total Nurse Staffing Hours per Resident per Day
4.50082
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-10
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-05-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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Nursiong Homes Nearby
United Methodist Village, The
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