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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 Beds109
Average Number of Residents59.2
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameUNLIMITED DEVELOPMENT, INC
Ownership TypeNon profit - Corporation
Date First Approved1982-01-01

Reported Nurse Aide Staffing Hours per Resident per Day2.9688
Reported LPN Staffing Hours per Resident per Day0.82103
Reported RN Staffing - Hours per Resident per Day0.50014
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 Day0.01126
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.24284
Case-Mix LPN Staffing - Hours per Resident per Day0.69321
Case-Mix RN Staffing - Hours per Resident per Day0.28352
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 cycles91
Rating cycle 1 Standard Survey Health Date2019-06-06
Rating cycle 1 - Health Deficiency Score17
Rating cycle 1 - Total Health Inspection Score28
Date of Rating cycle 2 Standard Health Survey Date2018-07-20
Rating cycle 2 - Health Deficiency Score28
Date of Rating cycle 3 Standard Health Survey Date2017-06-16
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints2
Number of Substantiated Complaints2
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28