Contact Information

FRIENDSHIP SKILLED NSG & REHAB
COVENANT CARE MIDWEST, INC.
826 NORTH HIGH
CARLINVILLE, IL 62626
(217) 854-9606
For profit - Corporation
Medicare certification date2: January 20, 1994
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

  33 residents

  49 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 5
Facility reported incidents None
Number of fines None
Number of penalties None
Number of payment denials None

Staffing

Staffing for 33 residents Illinois Average National Average
Hours by Registered Nurse (RN) per resident per day 28 minutes 46 minutes 41 minutes
Hours by Licensed Practial Nurse (LPN & LVN) per resident per day 44 minutes 38 minutes 53 minutes
Hours by Certified Nursing Assistant (CNA) per resident per day 1 hour, 49 minutes 2 hours, 4 minutes 2 hours, 20 minutes
Physical therapy (PT) staff hours per resident per day 6 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

  • GENERAL ELECTRIC CAPITAL CORPORATION

DIRECTOR

  • LEVIN, ROBERT
  • SIMS, CHRISTINE

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, FRIENDSHIP SKILLED NSG & REHAB charged a total of $957,298 for 38 Medicare Beneficiaries. The average age of residents at this skilled nursing facility is about 80.

The report covers only calendar year 2016.

Chronic Condition of Residents
Atrial Fibrillation 26% Alzheimer's 61%
Asthma 55% Cancer 21%
Congestive Heart Failure 55% Kidney Disease 61%
COPD 53% Depression 61%
Diabetes 55% Hyperlipidemia 63%
Hypertension n/a Ischemic Heart Disease 61%
Osteoporosis 26% RA / OA 50%
Schizophrenia 16% Stroke 21%
Demographics
Medicare Beneficiaries 38 Average Age 80
Male 19 Female 19
White 36
Black n/a
Asian 0
Hispanic 0
American Indian 0
Other n/a

Health & Fire Inspection

Most recent health inspection: Apr 05, 2018; fire safety inspection: Apr 02, 2018

Health Deficiencies as of 04/05/2018
Freedom from Abuse, Neglect, and Exploitation None
Quality of Life and Care None
Resident Assessment and Care Planning None
Nursing and Physician Services None
Resident Rights None
Nutrition and Dietary Deficiencies None
Pharmacy Service None
Environmental Deficiencies None
Administration Deficiencies None
Fire Deficiencies as of 04/02/2018
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 None
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