Lewis Memorial Christian Vlg
Lewis Memorial Christian Vlg Information
| Facility Name | Lewis Memorial Christian Vlg |
| Location | 3400 West Washington, Springfield, IL 62702 |
| County (SSA Code) | Sangamon (920) |
| Phone Number | 217-787-9600 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 171 |
| Average Number of Residents | 143.6 |
| CCRC Facility? | Yes |
| 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 | LEWIS MEMORIAL CHRISTIAN VILLAGE |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2002-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.42646 |
| Reported LPN Staffing Hours per Resident per Day | 1.43121 |
| Reported RN Staffing - Hours per Resident per Day | 0.49407 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.92528 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.35174 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06745 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1587 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71239 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.31131 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.1824 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.35964 |
| Total Weighted Health Survey Score for three cycles | 91.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-05 |
| Rating cycle 1 - Health Deficiency Score | 10 |
| Rating cycle 1 - Total Health Inspection Score | 84 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-06-28 |
| Rating cycle 2 - Health Deficiency Score | 84 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-05-25 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 17 |
| Number of Substantiated Complaints | 17 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 60297 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |