PALM TERRACE OF MATTOON
NPI 1487610291
Skilled Nursing Facility in Mattoon, IL

Q: What is Petersen Management Company, LLC's NPI number?

The NPI number for Petersen Management Company, LLC is 1487610291. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Palm Terrace Of Mattoon.

Q: What is Petersen Management Company, LLC's specialty?

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

Q: What quality rating does Petersen Management Company, LLC have?

CMS rates Palm Terrace Of Mattoon 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

Active since April 21, 2006

1/5

Overall Rating

1000 PALM AVE, MATTOON, IL 61938(217) 234-7403(217) 258-6642 Get Directions Write a Review

NPPES record last updated: May 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Palm Terrace Of Mattoon NPPES

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

PALM TERRACE OF MATTOON (NPI 1487610291) is a healthcare organization registered as a skilled nursing facility in Mattoon, Illinois and active in the NPI registry since April 2006. The organization lists Mark B. Petersen, President, as its authorized official.

NPPES Registry Identity

NPI1487610291

Entity TypeOrganization

Primary Taxonomy314000000X

Legal Business NamePETERSEN MANAGEMENT COMPANY, LLC

Location Address1000 PALM AVEMattoon, IL 61938-6031

Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622

Phone(217) 234-7403

Fax(217) 258-6642

Organization SubpartYesParent: Petersen Health Care Ii, Inc.

Authorized OfficialMark B. PetersenPresident · (309) 691-8113

Enumeration DateApril 21, 2006

Last NPPES UpdateMay 23, 2013

✔ NPI 1487610291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities

Taxonomy Code314000000X

License✔ Licensed in IL · 0046037

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.

1000 PALM AVE, Mattoon, IL 61938

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Other Names 1

Doing Business AsPalm Terrace Of Mattoon

Other Identifiers 3

Medicaid74-3055934001IL

Medicare ID-Type Unspecified14-5584

Medicare OSCAR/certification145584

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Palm Terrace Of Mattoon (CMS certification number 145584), from CMS Care Compare.

Palm Terrace Of Mattoon

Nursing home · Mattoon, IL

1/5 CMS Overall Rating

OwnershipFor profit - Individual

CMS Certification Number145584

Certified Beds178 beds87 residents per day on average

Medicare & Medicaid Participant SinceOctober 14, 1987

Resident & Family CouncilResident council

Automatic sprinkler system

CMS Star Ratings

Quality Measures

Based on a select set of clinical quality measures.

2/5

Long-Stay Quality

Quality of care delivered to long-term residents.

2/5

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.

220.67

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 1.29 · LPN 0.54 · RN 0.37

2.2 hrs per resident per day

Weekend Nurse Staffing

1.77 hrs per resident per day

Physical Therapist Staffing

0 hrs per resident per day

Nursing Staff Turnover

Share of nursing staff who left the facility within the past year.

56.9%

Registered Nurse Turnover

50%

Administrators Who Have Left

In the past year.

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.

Facility-Reported Incidents

Substantiated Complaints

Infection-Control Citations

Fines

1 totaling $37,894.80

Medicare Payment Denials

Total Penalties

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 6

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

MADELINE KOESTER APRN

Nurse Practitioner (Family)