Shelbyville Manor
Shelbyville Manor Information
| Facility Name | Shelbyville Manor |
| Location | 1111 West North 12th Street, Shelbyville, IL 62565 |
| County (SSA Code) | Shelby (950) |
| Phone Number | 217-774-2111 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 109 |
| Average Number of Residents | 59.2 |
| 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 - Corporation |
| Date First Approved | 1982-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.9688 |
| Reported LPN Staffing Hours per Resident per Day | 0.82103 |
| Reported RN Staffing - Hours per Resident per Day | 0.50014 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.32117 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.28997 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01126 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24284 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.69321 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28352 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.21957 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.24816 |
| Total Weighted Health Survey Score for three cycles | 91 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-06 |
| Rating cycle 1 - Health Deficiency Score | 17 |
| Rating cycle 1 - Total Health Inspection Score | 28 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-20 |
| Rating cycle 2 - Health Deficiency Score | 28 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-16 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| 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 |