Mount Vernon Countryside Manor
Mount Vernon Countryside Manor Information
| Facility Name | Mount Vernon Countryside Manor |
| Location | 606 East Il Hwy 15, Mount Vernon, IL 62864 |
| County (SSA Code) | Jefferson (490) |
| Phone Number | 618-242-1800 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 91 |
| Average Number of Residents | 74.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | PALLADIAN MT VERNON SNF, LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1990-06-05 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.73187 |
| Reported LPN Staffing Hours per Resident per Day | 0.53983 |
| Reported RN Staffing - Hours per Resident per Day | 0.66349 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.20332 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.93519 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03609 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.31172 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.76279 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.30631 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.38081 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.71097 |
| Total Weighted Health Survey Score for three cycles | 19.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-19 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-02-28 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-01-16 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |