Contact Information

JACKSONVILLE SKILLED NURSING & REHAB
COVENANT CARE JACKSONVILLE, LLC
1517 WEST WALNUT STREET
JACKSONVILLE, IL 62650
(217) 243-6451
For profit - Corporation
Medicare certification date2: September 04, 1974
The is the date the nursing home was certified to participate in the Medicare program.

1 Nursing homes can be run by private for-profit corporations, non-profit corporations, religious affiliated organizations or government entities.

2 Agencies that are Medicare Certified are able to participate in Medicare related programs.


Nursing Home Information

  72 residents

  88 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident and Family Council

  Automatic sprinklers in all required areas

Quality rating
Health inspection rating
Staffing rating
Substantiated complaints 4
Facility reported incidents 3
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 72 residents Illinois Average National Average
Hours by Registered Nurse (RN) per resident per day 15 minutes 46 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 58 minutes 38 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 6 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 5 minutes 6 minutes 7 minutes

Staffing hours per resident is the total number of hours worked by the staff divided by the total number of residents. It doesn't necessarily show the number of nursing staff present at any given time or the amount of care given to any one resident.

Ownership

5% OR GREATER DIRECT OWNERSHIP INTEREST

  • COVENANT CARE CALIFORNIA, LLC

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • CENTRE CAPITAL INVESTORS V, LP
  • CENTRE COVENANT PURCHASER (B), LLC
  • CENTRE COVENANT PURCHASER (Q), LLC
  • CENTRE COVENANT PURCHASER (S), LLC
  • CENTRE V SECONDARY FUND, L.P.
  • COVENANT CARE, LLC
  • COVENANT HOLDCO, LLC
  • COVENANT SUBCO, LLC
  • STATE TREASURER OF MICH CUSTODIAN OF PUBLIC SCHOOL EMPL RTMNT SYSTEMS
  • STOCKWELL FUND II LP
  • EVANS, MARY
  • LEVIN, ROBERT
  • SIMS, CHRISTINE
  • TOROK, ANDREW

5% OR GREATER SECURITY INTEREST

  • MIDCAP FUNDING IV, LLC

MANAGING EMPLOYEE

  • SPARKS, CAROL

OFFICER

  • ASHLEY, DAVA
  • CARNEY, KEVIN
  • DONOVAN, ROBERT
  • EVANS, MARY
  • LEVIN, ROBERT
  • SIMS, CHRISTINE
  • TOROK, ANDREW

OPERATIONAL/MANAGERIAL CONTROL

  • ASHLEY, DAVA

Nursing Home Report

In 2016, JACKSONVILLE SKILLED NURSING & REHAB charged a total of $1,965,522 for 93 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 83.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 33% Alzheimer's 55%
Asthma 44% Cancer 11%
Congestive Heart Failure 54% Kidney Disease 69%
COPD 45% Depression 53%
Diabetes 42% Hyperlipidemia 71%
Hypertension n/a Ischemic Heart Disease 67%
Osteoporosis 17% RA / OA 62%
Schizophrenia 3% Stroke 16%
Demographics
Medicare Beneficiaries 93 Average Age 83
Male 36 Female 57
White 90
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Apr 19, 2018; fire safety inspection: Apr 19, 2018

Health Deficiencies as of 04/19/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning 2
Nursing and Physician Services None
Resident Rights 3
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 04/19/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies None
Services Deficiencies None
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 2
Interior Deficiencies None
Gas, Vacuum, and Electrical Systems None
Hazardous Area None
Illumination and Emergency Power None
Laboratories Deficiencies None
Medical Gases and Anesthetizing Areas None
Smoking Regulations None
Miscellaneous Regulations 1

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See also