Country Health
Country Health Information
| Facility Name | Country Health |
| Location | 2304 C R 3000 N, Gifford, IL 61847 |
| County (SSA Code) | Champaign (90) |
| Phone Number | 217-568-7362 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 89 |
| Average Number of Residents | 81 |
| 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 | COUNTRY HEALTH, INC. |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1992-03-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.13522 |
| Reported LPN Staffing Hours per Resident per Day | 0.68047 |
| Reported RN Staffing - Hours per Resident per Day | 0.67034 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.35081 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.48603 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.03088 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.04826 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.71047 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.32254 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.08127 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.607 |
| Total Weighted Health Survey Score for three cycles | 78.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-09-12 |
| Rating cycle 1 - Health Deficiency Score | 8 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-29 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-26 |
| Rating cycle 3 - Health Deficiency Score | 52 |
| Rating cycle 3 - Total Health Inspection Score | 52 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 13626 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |