Wabash Christian Retirement
216 College Boulevard, Carmi, IL 62821


Wabash Christian Retirement is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 146019. The address is 216 College Boulevard, Carmi, IL 62821. The zip code is 62821. The phone number is 6183824644.


Wabash Christian Retirement · 216 College Boulevard, Carmi, IL 62821

Federal Provider Number 146019
Provider Name WABASH CHRISTIAN RETIREMENT
Address 216 COLLEGE BOULEVARD
CARMI, IL 62821
Phone Number 6183824644
SSA County Code 987
County Name White
Ownership Type Non profit - Corporation
Certified Beds 156
Certified Beds Residents 122
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name CHRISTIAN HOMES, INC
Date First Approved to Provide Medicare Medicaid Services 12/21/2001
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 4
Health Inspection Rating 4
Quality Measure Rating 3
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.31639
Reported LPN Staffing Hours per Resident per Day 0.96516
Reported RN Staffing Hours per Resident per Day 0.6582
Reported Licensed Staffing Hours per Resident per Day 1.62336
Reported Total Nurse Staffing Hours per Resident per Day 3.93975
Reported Physical Therapist Staffing Hours per Resident Per Day 0.04672
Expected CNA Staffing Hours per Resident per Day 2.56449
Expected LPN Staffing Hours per Resident per Day 0.68632
Expected RN Staffing Hours per Resident per Day 1.13477
Expected Total Nurse Staffing Hours per Resident per Day 4.38558
Adjusted CNA Staffing Hours per Resident per Day 2.21632
Adjusted LPN Staffing Hours per Resident per Day 1.16722
Adjusted RN Staffing Hours per Resident per Day 0.4334
Adjusted Total Nurse Staffing Hours per Resident per Day 3.62113
Cycle 1 Total Number of Health Deficiencies 3
Cycle 1 Number of Standard Health Deficiencies 2
Cycle 1 Number of Complaint Health Deficiencies 1
Cycle 1 Health Deficiency Score 36
Cycle 1 Standard Survey Health Date 03/30/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 36
Cycle 2 Total Number of Health Deficiencies 2
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 05/12/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 1
Cycle 3 Number of Complaint Health Deficiencies 1
Cycle 3 Health Deficiency Score 36
Cycle 3 Standard Health Survey Date 04/30/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 36
Total Weighted Health Survey Score 25.333
Number of Substantiated Complaints 5
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Wabash Christian Retirement

Owner Name Role Association Date
BARBER CHRISTIAN HOME CARE LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 01/01/2016
BEHRENDS, MARK (Individual) DIRECTOR since 01/01/2012
BRYANT, SANDRA (Individual) MANAGING EMPLOYEE since 11/18/2002
BURRELL, TIMOTHY (Individual) DIRECTOR since 01/01/2014
CARELINK INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 08/29/2015
CARTER, BILLY (Individual) DIRECTOR since 01/01/2007
CARTER, BILLY (Individual) OFFICER since 01/01/2009
CHRISTIAN HOMES, INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/19/2011
CLARK, RANDY (Individual) DIRECTOR since 01/01/2008
CLOTT, BARBARA (Individual) MANAGING EMPLOYEE since 03/01/2003
CROSBY, ROBERT (Individual) DIRECTOR since 01/01/1998
FAIR HAVENS CHRISTIAN HOME INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/19/2011
FILING, NICHOLAS (Individual) DIRECTOR since 01/01/2011
FITZGERALD, DONALD (Individual) DIRECTOR since 01/01/2014
FRASURE, JAMES (Individual) DIRECTOR since 01/01/2005
GNUSE, STEVE (Individual) DIRECTOR since 01/01/2015
GOODNER, TERRY (Individual) DIRECTOR since 01/01/2002
GOODNER, TERRY (Individual) OFFICER since 06/01/2012
HUDSON, KENNA (Individual) MANAGING EMPLOYEE since 04/02/2012
JACKSON COUNTY SCHNECK MEMORIAL HOSPITAL (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/01/2012
JOHNSON CHRISTIAN VILLAGE CARE CENTER LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 09/23/2014
KELLEY, KELLY (Individual) MANAGING EMPLOYEE since 02/19/2012
KELLEY, KELLY (Individual) OFFICER since 02/19/2012
KERINS, TOM (Individual) DIRECTOR since 01/01/2015
LEWIS MEMORIAL CHRISTIAN VILLAGE (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/19/2011
LINCOLN, PATRICIA (Individual) DIRECTOR since 01/01/2002
LONGENECKER, MARK (Individual) MANAGING EMPLOYEE since 09/18/2011
LONGENECKER, MARK (Individual) OFFICER since 09/18/2011
MCGHEE, SUSAN (Individual) DIRECTOR since 01/01/2008
MCGHEE, SUSAN (Individual) MANAGING EMPLOYEE since 11/18/2016
MIDWEST CHRISTIAN VILLAGES, INC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 10/19/2011
MIDWEST SENIOR MINISTRIES, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/20/2011
PHILLIPPE, TIMOTHY (Individual) DIRECTOR since 01/16/2001
PHILLIPPE, TIMOTHY (Individual) MANAGING EMPLOYEE since 01/16/2001
PHILLIPPE, TIMOTHY (Individual) OFFICER since 01/16/2001
PHILLIPPE, TIMOTHY (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/16/2001
RISEN SON CHRISTIAN VILLAGE (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/19/2011
SAFE HAVEN HOSPICE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/20/2011
SCHMITZ, CHUCK (Individual) MANAGING EMPLOYEE since 10/05/2016
SCHMITZ, CHUCK (Individual) OFFICER since 10/05/2016
SEWELL, RONALD (Individual) DIRECTOR since 01/01/2008
SEWELL, RONALD (Individual) OFFICER since 01/01/2014
SPRING RIVER CHRISTIAN VILLAGE, INC. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 10/19/2011
WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
5%
since 02/21/2014
WILLIAMS, VICTOR (Individual) DIRECTOR since 01/01/2012

62821 · Nursing Home

Carmi Manor Rehab & Nrsg Ctr 615 West Webb Street, Po Box 133, Carmi, IL 62821

Carmi · Nursing Home

Carmi Manor Rehab & Nrsg Ctr 615 West Webb Street, Po Box 133, Carmi, IL 62821

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