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PRAIRIE VILLAGE HEALTHCARE CTR

Overall Rating

Address

1024 West Walnut

Jacksonville, IL 62650

Contact

2172455175

Certification Date

1975-07-01

Details

CMS Certification Number

145294

Ownership Type

For profit - Corporation

Number of Certified Beds

126

Average Number of Residents per Day

52.2

Provider Type

Medicare and Medicaid

Legal Business Name

PRAIRIE VILLAGE HEALTHCARE CENTER INC

Affiliated Entity Name

ATIED ASSOCIATES

Affiliated Entity ID

53

Ratings

Health Inspection Rating

4

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.55026

Reported LPN Staffing Hours per Resident per Day

0.92982

Reported RN Staffing Hours per Resident per Day

0.52002

Reported Total Nurse Staffing Hours per Resident per Day

3.00010

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.59751

Registered Nurse Hours per Resident per Day on the Weekend

0.35335

Reported Physical Therapist Staffing Hours per Resident Per Day

0.01434

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

2

Inspections

Total Weighted Health Survey Score

41.333

Number of Facility Reported Incidents

0

Number of Substantiated Complaints

0

Number of Citations from Infection Control Inspections

0

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-05-10

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

44

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

44

Rating Cycle 2

Standard Health Survey Date

2022-06-16

Total Number of Health Deficiencies

5

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

0

Health Deficiency Score

56

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

56

Rating Cycle 3

Standard Health Survey Date

2021-03-31

Total Number of Health Deficiencies

1

Number of Standard Health Deficiencies

1

Number of Complaint Health Deficiencies

0

Health Deficiency Score

4

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

4

Penalties

Number of Fines

0

Total Amount of Fines in Dollars

0.00

Number of Payment Denials

0

Total Number of Penalties

0