Villa Health Care East - Sherman Nursing Home
General Information
UPDATEFederal Provider Number
145721
Provider Name
VILLA HEALTH CARE EAST
Provider Address
100 MARIAN PARKWAY PO BOX 109
SHERMAN, IL 62684
SHERMAN, IL 62684
Provider Phone Number
2177442299
Provider SSA County
920
Provider County Name
Sangamon
Ownership Type
Non profit - Other
Number of Certified Beds
99
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA HEALTH CARE INC
Date First Approved to Provide Medicare and Medicaid services
1992-01-01
Continuing Care Retirement Community
Y
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.30977
Reported LPN Staffing Hours per Resident per Day
0.79195
Reported RN Staffing Hours per Resident per Day
0.57184
Reported Licensed Staffing Hours per Resident per Day
1.36379
Reported Total Nurse Staffing Hours per Resident per Day
3.67356
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02816
Expected CNA Staffing Hours per Resident per Day
2.52735
Expected LPN Staffing Hours per Resident per Day
0.60230
Expected RN Staffing Hours per Resident per Day
0.98247
Expected Total Nurse Staffing Hours per Resident per Day
4.11212
Adjusted CNA Staffing Hours per Resident per Day
2.24246
Adjusted LPN Staffing Hours per Resident per Day
1.09135
Adjusted RN Staffing Hours per Resident per Day
0.43490
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60101
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
227
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
227
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
4
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
120.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
2
Total Amount of Fines in Dollars
6240
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Bridge Care Suites
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Concordia Village Care Center
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Auburn Rehab & Hcc
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