MANORCARE AT CHAMPAIGN - CHAMPAIGN, IL

United States hospital / nursing home:
MANORCARE AT CHAMPAIGN - CHAMPAIGN, IL

MANORCARE AT CHAMPAIGN
309 EAST SPRINGFIELD
CHAMPAIGN, IL 61820


RELIGIOUS NONMEDICAL HEALTH CARE INSTITUTIONS SNF/NF (DISTINCT PART)

Services provided by MANORCARE AT CHAMPAIGN:

  • Clinical laboratory services are provided offsite to residents
  • Dental services are provided offsite to residents
  • Dietary services are provided onsite to residents
  • Housekeeping services are provided onsite to residents
  • Nursing services are provided onsite to residents
  • Occupational therapy services are provided onsite to residents
  • Field 1 - Indicates other activity services provided by staff onsite to residents
  • Field 1 - Indicates services provided by social service s staff onsite to residents
  • Pharmacy services are provided onsite to residents
  • Physical therapy services are provided onsite to residents
  • Physician services are provided onsite to residents
  • Podiatry services are provided onsite to residents
  • Social work services are provided onsite to residents
  • Speech/language pathology services are provided onsite to residents

Beds - Total (Total number of beds in a facility, including those in non-Participating or non-licensed areas): 102

Beds - Total certified (Number of beds in Medicare and/or Medicaid certified areas within a facility): 64

Lpn/lvn - Full time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a full time basis): 16.49

Registered nurse - Full time (The number of full-time equivalent registered nurses employed by a facility on a full time basis): 5.26

Change of ownership counter (The number of times a change of ownership (chow) has taken place for a particular provider): 2

Current fms survey date (Current fms survey date): Apr 2000

Program participation (Indicates if the provider participates in Medicare, Medicaid, or both programs): MEDICARE AND MEDICAID

Regional override #2 (staffing) (This field is set to "y" when the regional office has to ok a pending record in the special fields screen. this field only applies to categories in the odie data entry system): Yes

Administrator - Full time (The number of full-time equivalent administrative staff employed on a full time basis by a facility): 1.14

Beds - Medicare snf (Number of Medicare certified snf beds in a facility): 46

Beds - Snf/nf (Number of beds certified for both Medicare and Medicaid skilled nursing care in a long term care facility): 18

Cert nurse aides - Full time (The number of full-time equivalent certified nurse aides employed by a facility on a full time basis): 37.40

Cert nurse aides - Part time (The number of full-time equivalent certified nurse aides employed by a facility on a part time basis): 30.29

Dietitians - Contract (The number of full-time equivalent under contract to a facility): 0.11

Food service - Full time (The number of full-time equivalent food service personnel employed by a facility on a full time basis): 5.91

Food service - Part time (The number of full-time equivalent food service personnel employed by a facility on a part time basis): 1.90

Housekeeping - Full time (The number of full-time equivalent housekeeping personnel employed by a facility on a full time basis): 4.91

Housekeeping - Part time (The number of full-time equivalent housekeeping personnel employed by a facility on a part time basis): 0.43

Lpn/lvn - Part time (The number of full-time equivalent licensed practical/ vocational nurses employed by a facility on a part time basis): 1.43

Multi-Facility organization name (The name of the multi-Facility organization that owns the facility): HCR MANOR CARE

Multi-Facility organization owned (Indicates if a facility is owned by an organization that owns (or leases) two or more nursing facilities): Yes

Nurses with admin duties-Full time (The number of full-time equivalent nurses with administrative duties employed by a facility on a full time basis): 1.14

Occup therapy asst - Full time (The number of full-time equivalent occupational therapy assistants employed by a facility on a full time basis): 1.14

Occup therapy asst - Part time (The number of full-time equivalent occupational therapy assistants employed by a facility on a part time basis): 0.07

Occupational therapist - Part time (The number of full-time equivalent occupational therapists employed by a facility on a part time basis): 0.43

Organized family group (Indicates if the facility has an organized group of family members of residents): Yes

Organized resident group (Indicates if the facility has an organized residents group): Yes

Other - Full time (The number of full-time equivalent persons not included in any other categories employed by the facility on a full-time basis): 1.19

Other - Part time (The number of full-time equivalent persons not included in any other categories employed by the facility on a part-time basis): 0.56

Other activities staff-Full time (Number of full-time staff hours for other activities): 3.93

Other activities staff-Part time (Number of part time staff hours provided by other activ ities staff): 1.37

Othr social serv staff-Full time (Number of full-time staff hours provided by other socia l services staff): 0.57

Pharmacists - Contract (The number of full-time equivalent pharmacists under contract to a facility): 0.11

Phys ther asst - Full time (Number of full-time staff hours for physical therapy as sistants): 1.14

Physical therapists - Full time (The number of full time equivalent physical therapists employed by a facility on a full time basis): 1.14

Registered nurse - Part time (The number of full-time equivalent registered nurses employed by a facility on a part time basis): 3.80

Rn director of nursing - Full time (The number of full-time equivalent rn director of nursing employed by a facility on a full time basis): 1.14

Social worker - Full time (The number of full-time equivalent social workers employed by a facility on a full time basis): 1.14

Special care beds-Alzheimers (The number of beds in a unit identified and dedicated by the facility for residents with alzeheimers): 21

Speech pathologist - Full time (The number of full-time equivalent sppech pathologists employed by a facility on a full time basis): 1.14

Compliance: status (Indicates if a provider or supplier is in compliance with program requirements): NOT IN COMPLIANCE

Current survey date (The date of the health or life safety code survey, whichever is later. the "official" survey date for the provider): Apr 2002

Eligibility code (Indicates if a facility is eligible to participate in the Medicare and/or Medicaid programs): ELIGIBLE TO PARTICIPATE

Participation date (The date a facility is first approved to provide Medicare and/or Medicaid services): Sep 1968