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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 Beds91
Average Number of Residents74.5
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NamePALLADIAN MT VERNON SNF, LLC
Ownership TypeFor profit - Corporation
Date First Approved1990-06-05

Reported Nurse Aide Staffing Hours per Resident per Day2.73187
Reported LPN Staffing Hours per Resident per Day0.53983
Reported RN Staffing - Hours per Resident per Day0.66349
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 Day0.03609
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.31172
Case-Mix LPN Staffing - Hours per Resident per Day0.76279
Case-Mix RN Staffing - Hours per Resident per Day0.30631
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 cycles19.333
Rating cycle 1 Standard Survey Health Date2019-12-19
Rating cycle 1 - Health Deficiency Score2
Rating cycle 1 - Total Health Inspection Score12
Date of Rating cycle 2 Standard Health Survey Date2019-02-28
Rating cycle 2 - Health Deficiency Score12
Date of Rating cycle 3 Standard Health Survey Date2018-01-16
Rating cycle 3 - Health Deficiency Score20
Rating cycle 3 - Total Health Inspection Score20

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

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