Pittsfield Manor
Pittsfield Manor Information
| Facility Name | Pittsfield Manor |
| Location | 610 Lowry Street, Pittsfield, IL 62363 |
| County (SSA Code) | Pike (830) |
| Phone Number | 217-285-5200 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 89 |
| 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 | 1995-04-27 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.7762 |
| Reported LPN Staffing Hours per Resident per Day | 0.77031 |
| Reported RN Staffing - Hours per Resident per Day | 0.62141 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.39172 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.16792 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01776 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.07016 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.67891 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.29245 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.04152 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.3689 |
| Total Weighted Health Survey Score for three cycles | 66.833 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-19 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 32 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-29 |
| Rating cycle 2 - Health Deficiency Score | 32 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-26 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 5 |
| Number of Substantiated Complaints | 5 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 13338 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |