Heritage Health-mount Sterling - Mount Sterling Nursing Home
General Information
UPDATEFederal Provider Number
145820
Provider Name
HERITAGE HEALTH-MOUNT STERLING
Provider Address
435 CAMDEN ROAD
MOUNT STERLING, IL 62353
MOUNT STERLING, IL 62353
Provider Phone Number
2177733377
Provider SSA County
40
Provider County Name
Brown
Ownership Type
For profit - Corporation
Number of Certified Beds
87
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - MT. STERLING, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.00455
Reported LPN Staffing Hours per Resident per Day
0.77727
Reported RN Staffing Hours per Resident per Day
0.52273
Reported Licensed Staffing Hours per Resident per Day
1.30000
Reported Total Nurse Staffing Hours per Resident per Day
3.30455
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00833
Expected CNA Staffing Hours per Resident per Day
2.53343
Expected LPN Staffing Hours per Resident per Day
0.55726
Expected RN Staffing Hours per Resident per Day
0.76878
Expected Total Nurse Staffing Hours per Resident per Day
3.85948
Adjusted CNA Staffing Hours per Resident per Day
1.94146
Adjusted LPN Staffing Hours per Resident per Day
1.15769
Adjusted RN Staffing Hours per Resident per Day
0.50805
Adjusted Total Nurse Staffing Hours per Resident per Day
3.45133
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-10-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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