Apostolic Christian Home Of Eureka - Eureka Nursing Home
General Information
UPDATEFederal Provider Number
145673
Provider Name
APOSTOLIC CHRISTIAN HOME OF EUREKA
Provider Address
610 CRUGER
EUREKA, IL 61530
EUREKA, IL 61530
Provider Phone Number
(309) 467-2311
Provider SSA County
992
Provider County Name
Woodford
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
100
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
APOSTOLIC CHRISTIAN HOME OF EUREKA
Date First Approved to Provide Medicare and Medicaid services
1990-02-01
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.18854
Reported LPN Staffing Hours per Resident per Day
0.37604
Reported RN Staffing Hours per Resident per Day
1.22292
Reported Licensed Staffing Hours per Resident per Day
1.59896
Reported Total Nurse Staffing Hours per Resident per Day
4.78750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00729
Expected CNA Staffing Hours per Resident per Day
2.39088
Expected LPN Staffing Hours per Resident per Day
0.54759
Expected RN Staffing Hours per Resident per Day
0.83165
Expected Total Nurse Staffing Hours per Resident per Day
3.77011
Adjusted CNA Staffing Hours per Resident per Day
3.27232
Adjusted LPN Staffing Hours per Resident per Day
0.56998
Adjusted RN Staffing Hours per Resident per Day
1.09874
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11866
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-11-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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