SHAWNEE SENIOR LIVING LLC
NPI 1467002261
Skilled Nursing Facility in Herrin, IL

Active since September 13, 2019CLIA 14D2317747 · Waiver
1/5
Overall Rating
1901 N 13TH ST, HERRIN, IL 62948(618) 942-7391 Get Directions Write a Review

NPPES record last updated: December 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 31, 2024, Sep 13, 2019 (2 updates tracked since 2019).

About Shawnee Senior Living Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWNEE SENIOR LIVING LLC (NPI 1467002261) is a healthcare organization registered as a skilled nursing facility in Herrin, Illinois and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 29, 2027 and lists Sarah Dujua, Director Of Ar, as its authorized official.

NPPES Registry Identity

NPI1467002261
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameSHAWNEE SENIOR LIVING LLC
Location Address1901 N 13TH STHerrin, IL 62948-2839
Mailing Address1901 N 13th StHerrin, IL 62948-2839
Organization SubpartNo
Authorized OfficialSarah DujuaDirector Of Ar · (630) 217-1014
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 31, 20242 updates tracked since enumeration
NPPES CertifiedDecember 31, 2024
NPI 1467002261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1901 N 13TH ST, Herrin, IL 62948

Other Names 1

Doing Business AsShawnee Senior Living Llc

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2317747

Shawnee Senior Living LLC · Herrin, IL
Active · expires Jan 29, 2027
CLIA Number14D2317747
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJanuary 30, 2025
Certificate Expiration DateJanuary 29, 2027
Laboratory DirectorTina Wyatt
Laboratory Phone(618) 942-7391
Laboratory LocationShawnee Senior Living LLC1901 N 13th St, Herrin, IL 62948
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Shawnee Senior Living (CMS certification number 146036), from CMS Care Compare.

Shawnee Senior Living

Nursing home · Herrin, IL
1/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number146036
Certified Beds159 beds97 residents per day on average
Medicare & Medicaid Participant SinceNovember 1, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
4/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
394.17
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.86 · LPN 0.71 · RN 0.56
3.13 hrs per resident per day
Weekend Nurse Staffing
2.77 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
60%
Registered Nurse Turnover
52.6%
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
CMS lists this facility in its Special Focus Facility program, which identifies nursing homes with a persistent pattern of inspection issues for increased oversight.
Facility-Reported Incidents
5
Substantiated Complaints
38
Infection-Control Citations
6
Fines
2 totaling $200,989.22
Medicare Payment Denials
2
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapy Assistant
1901 N 13TH ST
HERRIN, IL 62948
Skilled Nursing Facility
1901 N 13TH ST
HERRIN, IL 62948
Physical Therapy Assistant
1901 N 13TH ST
HERRIN, IL 62948
Occupational Therapy Assistant
1901 N 13TH ST
HERRIN, IL 62948
Physical Therapist
1901 N 13TH ST
HERRIN, IL 62948
Physical Therapy Assistant
1901 N 13TH ST
HERRIN, IL 62948
Physical Therapy Assistant
1901 N 13TH ST
HERRIN, IL 62948
Durable Medical Equipment & Medical Supplies
1901 N 13TH ST
HERRIN, IL 62948

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawnee Senior Living LLC's NPI number?

The NPI number for Shawnee Senior Living LLC is 1467002261. It was assigned to this organization in the NPPES registry on September 13, 2019.

Where is Shawnee Senior Living LLC located?

Shawnee Senior Living LLC is located at 1901 N 13th St, Herrin, IL 62948. The listed phone number is (618) 942-7391.

What is Shawnee Senior Living LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Shawnee Senior Living LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2317747) is associated with this NPI, valid through January 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Shawnee Senior Living LLC a Medicare-certified nursing home?

Yes. Shawnee Senior Living is a Medicare-certified nursing home with 159 certified beds.

What quality rating does Shawnee Senior Living LLC have?

CMS rates Shawnee Senior Living 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Shawnee Senior Living LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shawnee Senior Living LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawnee Senior Living LLC was last updated on December 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.