Concordia Village Care Center is a nursing home approved by U.S Centers for Medicare & Medicaid Services (CMS). The federal provider number is #146154. The provider type is Medicare and Medicaid. The ownership type is non profit - church related. The address is 4101 West Iles Avenue, Springfield, IL 62711. The overall rating is 5.
| Federal Provider Number | 146154 |
| Provider Name | CONCORDIA VILLAGE CARE CENTER |
| Legal Business Name | LUTHERAN RETIREMENT CENTER ASSOCIATION |
| Address |
4101 West Iles Avenue Springfield IL 62711 |
| County | Sangamon |
| Telephone | 2177939429 |
| Ownership Type | Non profit - Church related |
| Provider Type | Medicare and Medicaid |
| Date Approved | 2012-05-01 |
| Number of Certified Beds | 64 |
| Average Number of Residents per Day | 38.6 |
| Provider Resides in Hospital | N |
| Continuing Care Retirement Community | Y |
| Abuse Icon |
N Cited for abuse or neglect at harm level or above on survey cycle 1 (Scope/severity G or greater) or cited for abuse or neglect at potential harm level (Scope/Severity D or above) on both survey cycles 1 and 2. |
| Most Recent Health Inspection More Than 2 Years Ago | N |
| Provider Changed Ownership in Last 12 Months | N |
| With a Resident and Family Council | Resident |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 5 |
| Health Inspection Rating | 4 |
| Quality Measure Rating | 4 |
| Long Stay Quality Measure Rating | 4 |
| Short Stay Quality Measure Rating | 3 |
| Staffing Rating | 5 |
| Registered Nurses Staffing Rating | 5 |
| Reported CNA Staffing Hours per Resident per Day | 3.21609 |
| Reported LPN Staffing Hours per Resident per Day | 1.11937 |
| Reported RN Staffing Hours per Resident per Day | 1.22271 |
| Reported Licensed Staffing Hours per Resident per Day | 2.34208 |
| Reported Total Nurse Staffing Hours per Resident per Day | 5.55817 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.08736 |
| Expected CNA Staffing Hours per Resident per Day | 2.16146 |
| Expected LPN Staffing Hours per Resident per Day | 0.73232 |
| Expected RN Staffing Hours per Resident per Day | 0.33830 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.23208 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.06333 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.13250 |
| Adjusted RN Staffing Hours per Resident per Day | 1.44641 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 5.50283 |
| Rating Cycle 1 Standard Survey Health Date | 2019-09-19 |
| Rating Cycle 1 Total Number of Health Deficiencies | 3 |
| Rating Cycle 1 Number of Standard Health Deficiencies | 3 |
| Rating Cycle 1 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 1 Health Deficiency Score | 16 |
| Rating Cycle 1 Number of Health Revisits | 1 |
| Rating Cycle 1 Health Revisit Score | 0 |
| Rating Cycle 1 Total Health Score | 16 |
| Rating Cycle 2 Standard Health Survey Date | 2018-10-18 |
| Rating Cycle 2 Total Number of Health Deficiencies | 9 |
| Rating Cycle 2 Number of Standard Health Deficiencies | 9 |
| Rating Cycle 2 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 2 Health Deficiency Score | 28 |
| Rating Cycle 2 Number of Health Revisits | 1 |
| Rating Cycle 2 Health Revisit Score | 0 |
| Rating Cycle 2 Total Health Score | 28 |
| Rating Cycle 3 Standard Health Survey Date | 2017-09-22 |
| Rating Cycle 3 Total Number of Health Deficiencies | 8 |
| Rating Cycle 3 Number of Standard Health Deficiencies | 8 |
| Rating Cycle 3 Number of Complavarchar Health Deficiencies | 0 |
| Rating Cycle 3 Health Deficiency Score | 44 |
| Rating Cycle 3 Number of Health Revisits | 1 |
| Rating Cycle 3 Health Revisit Score | 0 |
| Rating Cycle 3 Total Health Score | 44 |
| Total Weighted Health Survey Score | 24.667 |
| Number of Facility Reported Incidents | 0 |
| Number of Substantiated Complavarchars | 0 |
| Number of Citations from Infection Control Inspections | 0 |
| Number of Fines | 0 |
| Total Amount of Fines in Dollars | 0.00 |
| Number of Payment Denials | 0 |
| Total Number of Penalties | 0 |
| Processing Date | 2021-05-01 |
| Notes |
CMS: Centers for Medicare & Medicaid Services CNA: Certified Nursing Assistant LPN: Licensed Practical Nurse RN: Registered Nurse |
| Role Played | Owner Name | Owner Type | Ownership Percentage | Association Date |
|---|---|---|---|---|
| 5% OR GREATER DIRECT OWNERSHIP INTEREST | LUTHERAN SENIOR SERVICES | Organization | 100% | since 12/12/2011 |
| 5% OR GREATER SECURITY INTEREST | LUTHERAN SENIOR SERVICES | Organization | since 12/12/2011 | |
| DIRECTOR | ANDERSON, DAVID | Individual | since 07/01/2019 | |
| DIRECTOR | ANDERSON, GARRY | Individual | since 07/01/2020 | |
| DIRECTOR | BANTLE, JULIE | Individual | since 07/01/2019 | |
| DIRECTOR | BROWN, DANIEL | Individual | since 04/25/2018 | |
| DIRECTOR | CHRISTELL, ROY | Individual | since 04/25/2017 | |
| DIRECTOR | DUNN, JEFFREY | Individual | since 04/25/2018 | |
| DIRECTOR | KOMLOS, JOHN | Individual | since 04/23/2013 | |
| DIRECTOR | KUHLMANN, FREDRICK | Individual | since 04/28/2015 | |
| DIRECTOR | MUELLER, HARRY | Individual | since 04/28/2015 | |
| DIRECTOR | SCHOLL, TRAVIS | Individual | since 07/01/2019 | |
| DIRECTOR | SNEED, CHADWICK | Individual | since 07/01/2020 | |
| DIRECTOR | SOMBART, LISA | Individual | since 04/25/2017 | |
| DIRECTOR | STRAND, SHERRI | Individual | since 04/28/2015 | |
| DIRECTOR | TICE, PAUL | Individual | since 04/25/2017 | |
| DIRECTOR | TOON, NORMAN | Individual | since 07/01/2019 | |
| MANAGING EMPLOYEE | ANDERSON, GARRY | Individual | since 07/01/2020 | |
| MANAGING EMPLOYEE | BOGNER, JACQUE | Individual | since 04/02/2007 | |
| MANAGING EMPLOYEE | SNEED, CHADWICK | Individual | since 07/01/2020 | |
| OFFICER | ANDERSON, GARRY | Individual | since 07/01/2020 | |
| OFFICER | SNEED, CHADWICK | Individual | since 07/01/2020 | |
| OPERATIONAL/MANAGERIAL CONTROL | LUTHERAN SENIOR SERVICES | Organization | since 12/12/2011 |
| Street Address |
4101 WEST ILES AVENUE |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62711 |
| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Loomis Lakeside At Reeds Landing · Loomis Senior Living, Inc | 807 Wilbraham Road, Springfield, MA 01109 | 4137821800 | 1995-12-29 | 4 |
| Greenspring Village, Inc. | 7470 Spring Village Dr, Springfield, VA 22150 | 7039234663 | 2001-08-30 | 5 |
| Spring Valley Health & Rehabilitation Center · Mc Fremont Healthcare LLC | 2915 South Fremont Ave, Springfield, MO 65804 | 4178834022 | 1983-03-24 | 1 |
| Wilson's Creek Nursing & Rehab · N & R of Springfield West LLC | 3403 West Mt Vernon, Springfield, MO 65802 | 4178645600 | 1982-01-11 | 5 |
| Chapin Center · The Northeast Health Group, Inc | 200 Kendall Street, Springfield, MA 01104 | 4137374756 | 1986-11-03 | 2 |
| Glendale Gardens Nursing & Rehab · N & R of Springfield East LLC | 3535 East Cherokee, Springfield, MO 65809 | 4178899955 | 1991-10-28 | 5 |
| Allen View Healthcare Center · Derr Leasing Co LLC | 2615 Derr Road, Springfield, OH 45503 | 9373900005 | 1980-08-01 | 1 |
| Neighborhoods At Quail Creek, The · R H Montgomery Properties, Inc | 1514 West Lark, Springfield, MO 65810 | 4178891275 | 2006-01-11 | 3 |
| Springfield Masonic Community · The Ohio Masonic Home | 3 Masonic Drive, Springfield, OH 45501 | 9375253000 | 1997-04-14 | 4 |
| Sixteen Acres Healthcare Center · Bear Mt Springfield LLC | 215 Bicentennial Highway, Springfield, MA 01118 | 4137967511 | 1990-07-01 | 4 |
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| Nursing Home Name | Address | Telephone | Date Approved | Overall Rating |
|---|---|---|---|---|
| Lutheran Village At Wolfcreek · Lutheran Homes Society, Inc. | 2001 Perrysburg Holland Road, Holland, OH 43528 | 4198615600 | 2000-01-28 | 2 |
| Harmony Physical Rehabilitation · Concordia Lutheran Health and Human Care | 4365 Northern Pike, Monroeville, PA 15146 | 7243521571 | 2015-06-20 | 5 |
| Twin Lakes Community Memory Care · Lutheran Retirement Ministries of Alamance County, North Carolina | 3810 Heritage Drive, Burlington, NC 27215 | 3365852400 | 2008-11-05 | 5 |
| Concordia At The Cedars · Concordia of Monroeville | 4363 Northern Pike, Monroeville, PA 15146 | 4123733900 | 1998-09-15 | 4 |
| Lutheran Home, The · Lutheran Hillside Village Inc | 6901 North Galena Road, Peoria, IL 61614 | 3096924494 | 1994-01-01 | 5 |
| Birchaven Retirement Village · Blanchard Valley Continuing Care Services | 15100 Birchaven Lane, Findlay, OH 45840 | 4194243000 | 1994-09-15 | 5 |
| The Health Center At Concordia · Lutheran Senior Citizens Inc | 7707 West Britton Road, Oklahoma City, OK 73132 | 4057207200 | 2010-03-13 | 4 |
| Riverview Care Center · Riverview Lutheran Retirement Community of Spokane | 1841 East Upriver Drive, Spokane, WA 99207 | 5094894466 | 1985-02-25 | 5 |
| Concordia Village of Tampa · Concordia of Florida Inc | 4100 E Fletcher Ave, Tampa, FL 33613 | 8136322455 | 1979-05-17 | 1 |
| Concordia At Villa St Joseph · Concordia Lutheran Ministries of Pittsburgh | 1030 State Street, Baden, PA 15005 | 7248696300 | 1997-02-25 | 4 |
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This dataset includes 15 thousand nursing homes approved by U.S Centers for Medicare & Medicaid Services (CMS) to provide Medicare & Medicaid services. CMS created Care Compare, a healthcare compare tool, for consumers to understand information about doctors, hospitals, and skilled nursing facilities. The information on nursing homes include number of certified beds, quality measure scores, staffing and other information used in the Five-Star Rating System.