Jerseyville Manor
Jerseyville Manor Information
| Facility Name | Jerseyville Manor |
| Location | 1251 North State Street, Jerseyville, IL 62052 |
| County (SSA Code) | Jersey (500) |
| Phone Number | 618-498-6441 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 160 |
| Average Number of Residents | 130.3 |
| 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 | UNLIMITED DEVELOPMENT, INC |
| Ownership Type | Non profit - Other |
| Date First Approved | 1992-09-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.48609 |
| Reported LPN Staffing Hours per Resident per Day | 0.74378 |
| Reported RN Staffing - Hours per Resident per Day | 0.3864 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.13019 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.61627 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07577 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.28311 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.72029 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.33112 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.33452 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45757 |
| Total Weighted Health Survey Score for three cycles | 36 |
| Rating cycle 1 Standard Survey Health Date | 2019-11-15 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 40 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-17 |
| Rating cycle 2 - Health Deficiency Score | 40 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-27 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |