Arba Care Ctr Of Bloomington - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
145371
Provider Name
ARBA CARE CTR OF BLOOMINGTON
Provider Address
1509 NORTH CALHOUN STREET
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
Provider Phone Number
(309) 827-6046
Provider SSA County
650
Provider County Name
Mc Lean
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASTA CARE CENTER OF BLOOMINGTON LLC
Date First Approved to Provide Medicare and Medicaid services
1978-03-29
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.94575
Reported LPN Staffing Hours per Resident per Day
0.39764
Reported RN Staffing Hours per Resident per Day
0.43585
Reported Licensed Staffing Hours per Resident per Day
0.83349
Reported Total Nurse Staffing Hours per Resident per Day
2.77924
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00991
Expected CNA Staffing Hours per Resident per Day
2.39825
Expected LPN Staffing Hours per Resident per Day
0.62858
Expected RN Staffing Hours per Resident per Day
1.03343
Expected Total Nurse Staffing Hours per Resident per Day
4.06026
Adjusted CNA Staffing Hours per Resident per Day
1.99074
Adjusted LPN Staffing Hours per Resident per Day
0.52506
Adjusted RN Staffing Hours per Resident per Day
0.31513
Adjusted Total Nurse Staffing Hours per Resident per Day
2.75915
Cycle 1 Total Number of Health Deficiencies
38
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
268
Cycle 1 Standard Survey Health Date
2014-05-21
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
134
Cycle 1 Total Health Score
402
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-04-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
240.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
27
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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