Contact Information

MOUNT VERNON COUNTRYSIDE MANOR
MT. VERNON COUNTRYSIDE MANOR, INC.
606 EAST IL HWY 15
MOUNT VERNON, IL 62864
(618) 242-1800
For profit - Corporation
Medicare certification date2: June 05, 1990
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

  78 residents

  91 certified beds

  Participates in Medicare and Medicaid

  Continuing Care Retirement Community

  In hospital

  Resident Council only

  Automatic sprinklers in all required areas

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

Staffing

Staffing for 78 residents Illinois Average National Average
Hours by Registered Nurse (RN) per resident per day 37 minutes 46 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 33 minutes 38 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 2 hours, 36 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 3 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

  • DENISE KING 2012 EXEMPT TRUST
  • ELIZABETH TODOROV 2012 EXEMPT TRUST
  • KEITH KING 2012 EXEMPT TRUST
  • LESLIE PEDTKE 2012 EXEMPT TRUST
  • MICHELLE HIRSCHFELD 2012 EXEMPT TR

5% OR GREATER INDIRECT OWNERSHIP INTEREST

  • KING, DENISE

MANAGING EMPLOYEE

  • AUSSIEKER, CHRIS

OFFICER

  • ELIK, AMY

OPERATIONAL/MANAGERIAL CONTROL

  • KING MANAGEMENT COMPANY

Nursing Home Report

In 2016, MOUNT VERNON COUNTRYSIDE MANOR charged a total of $2,890,240 for 137 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 82.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 28% Alzheimer's 55%
Asthma 36% Cancer 15%
Congestive Heart Failure 47% Kidney Disease 65%
COPD 36% Depression 39%
Diabetes 40% Hyperlipidemia 60%
Hypertension n/a Ischemic Heart Disease 56%
Osteoporosis 27% RA / OA 61%
Schizophrenia 3% Stroke 13%
Demographics
Medicare Beneficiaries 137 Average Age 82
Male 42 Female 95
White 135
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Jan 16, 2018; fire safety inspection: Jan 09, 2018

Health Deficiencies as of 01/16/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care 3
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies 1
Administration Deficiencies None
Fire Deficiencies as of 01/09/2018
Emergency Preparedness None
Automatic Sprinkler Systems None
Construction Deficiencies 1
Services Deficiencies 1
Corridor Walls and Doors None
Egress Deficiencies None
Electrical Deficiencies None
Emergency Plans and Fire Drills None
Fire Alarm Systems None
Smoke Deficiencies 3
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 None

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See also