Walnut Manor - Walnut Nursing Home
General Information
UPDATEFederal Provider Number
146063
Provider Name
WALNUT MANOR
Provider Address
308 SOUTH SECOND STREET
WALNUT, IL 61376
WALNUT, IL 61376
Provider Phone Number
(815) 379-2131
Provider SSA County
50
Provider County Name
Bureau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WALNUT MANOR INC
Date First Approved to Provide Medicare and Medicaid services
2004-06-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.05918
Reported LPN Staffing Hours per Resident per Day
0.63061
Reported RN Staffing Hours per Resident per Day
0.59490
Reported Licensed Staffing Hours per Resident per Day
1.22551
Reported Total Nurse Staffing Hours per Resident per Day
3.28469
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01735
Expected CNA Staffing Hours per Resident per Day
2.33393
Expected LPN Staffing Hours per Resident per Day
0.59132
Expected RN Staffing Hours per Resident per Day
0.89019
Expected Total Nurse Staffing Hours per Resident per Day
3.81544
Adjusted CNA Staffing Hours per Resident per Day
2.16485
Adjusted LPN Staffing Hours per Resident per Day
0.88514
Adjusted RN Staffing Hours per Resident per Day
0.49934
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47018
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-10
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
40
Cycle 2 Standard Health Survey Date
2014-03-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
20
Cycle 3 Standard Health Survey Date
2013-04-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
36.66700
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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