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Mount Vernon Countryside Manor
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Mount Vernon Countryside Manor Share
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Overview Share
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Mount Vernon, Illinois
Medicare and Medicaid

Mount Vernon Countryside Manor is a nursing home located in Mount Vernon, Illinois with 91 beds and an average of 80 residents per day.

Address
606 East Il Highway 15
Mount Vernon, Illinois 62864
Contact
Scoreboard
Overall:
Health inspection:
Quality measures:
Long-term stay quality measures:
Short-term stay quality measures:
Staffing:
Nurse staffing:
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Facts & features Share
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Continuing care retirement community: No
Automatic sprinkler systems: Yes
Council: Family and resident council
Provider type: Medicare and Medicaid
Date first approved to provide Medicare and Medicaid services: June 5, 1990
Number of beds: 91
Number of residents per day: 80
Percent of beds that are filled: 88% of beds are filled
Health inspection Share
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Health inspection rating

Health inspection ratings are based on the number, scope, and severity of deficiencies identified during the three most recent annual inspection surveys, as well as substantiated findings from the most recent 36 months of complaint investigations. All deficiency findings are weighted by scope and severity. This measure also takes into account the number of revisits required to ensure that deficiencies identified during the health inspection survey have been corrected.

Number of health deficiencies by year

A health citation is a finding that a nursing home failed to meet one or more federal health requirements during an annual health inspection or a complaint inspection. Inspectors identify health citations by observing the nursing home's performance, its practices, or the conditions in the facility.

2019 2
2018 3
2017 4
Learn more about health inspection ratings
Staff Share
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Staff rating
Nurse staff rating

Staff ratings are based on nursing home staffing levels. They are based on two measures: (1) Registered nurse hours per resident per day and (2) Total nurse staffing (registered nurses, licensed practical nurses, and nurse aides) hours per resident per day.

Higher staffing hours per resident per day means that each resident receives more hours of care.

At Mount Vernon Countryside Manor, residents receive around 3.5 hours of care each day.

Nurse staffing hours per resident per day
Nurse aid staffing hours per resident per day 2.3 hours
Licensed practical nurse hours per resident per day 0.6 hours
Registered nurse staffing hours per resident per day 0.6 hours
Total nurse staffing hours per resident per day 3.5 hours
Quality of care Share
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Overall quality of care rating
Long-term stay quality of care rating
Short-term stay quality of care rating

The quality of care rating is based on a variety of measures including:

Percent of residents whose need for help with activities of daily living has increased
Percent of residents whose ability to move independently worsened
Percent of high-risk residents with pressure ulcers
Percent of residents who have/had a catheter inserted and left in their bladder
Percent of residents with a urinary tract infection
Percent of residents experiencing one or more falls with major injury
Percent of residents who received an antipsychotic medication
Number of hospitalizations
Number of outpatient emergency department visits
Management Share
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Mount Vernon Countryside Manor is operated by MT. Vernon Countryside Manor, Inc. It was first approved to provide Medicare and Medicaid services on June 5, 1990.
Ownership
Name Role Ownership percentage Association date

Denise King 2012 Exempt Trust

Organization
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5% Or Greater Direct Ownership Interest 20% Since 12/21/2012

Tyger Downen

Individual
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Operational/Managerial Control Not Applicable Since 02/01/2018

Tyger Downen

Individual
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Managing Employee Not Applicable Since 02/01/2018

Amy Elik

Individual
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Officer Not Applicable Since 03/29/2016

Elizabeth Todorov 2012 Exempt Trust

Organization
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5% Or Greater Direct Ownership Interest 20% Since 12/21/2012

Keith King 2012 Exempt Trust

Organization
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5% Or Greater Direct Ownership Interest 20% Since 12/21/2012

King Management Company

Organization
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Operational/Managerial Control Not Applicable Since 01/09/2009

Denise King

Individual
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Officer Not Applicable Since 12/21/2012

Denise King

Individual
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5% Or Greater Indirect Ownership Interest 20% Since 12/21/2012

Denise King

Individual
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Director Not Applicable Since 12/21/2012

Leslie Pedtke 2012 Exempt Trust

Organization
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5% Or Greater Direct Ownership Interest 20% Since 12/21/2012

Michelle Hirschfeld 2012 Exempt TR

Organization
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5% Or Greater Direct Ownership Interest 20% Since 12/21/2012
Incidents and fines Share
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Number of facility reported incidents 0
Number of substantiated complaints 0
Number of fines 0
Total fines $0
Number of payment denials 0
Number of penalties 0
Nearby Share
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Test Share
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Federal Provider Number 145685
Ownership Type
Special Focus Status
Abuse Icon
Most Recent Health Inspection More Than 2 Years Ago
Provider Changed Ownership in Last 12 Months
Overall Rating 4
Health Inspection Rating 4
QM Rating 4
Long-Stay QM Rating 5
Short-Stay QM Rating 3
Staffing Rating 3
RN Staffing Rating 3

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