Cornerstone Rehab & Hc - Peoria Heights Nursing Home
General Information
UPDATEFederal Provider Number
145239
Provider Name
CORNERSTONE REHAB & HC
Provider Address
5533 NORTH GALENA ROAD
PEORIA HEIGHTS, IL 61614
PEORIA HEIGHTS, IL 61614
Provider Phone Number
(309) 682-5428
Provider SSA County
800
Provider County Name
Peoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST HEALTH OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1972-02-02
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
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
2.16216
Reported LPN Staffing Hours per Resident per Day
0.61757
Reported RN Staffing Hours per Resident per Day
0.56014
Reported Licensed Staffing Hours per Resident per Day
1.17770
Reported Total Nurse Staffing Hours per Resident per Day
3.33987
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07703
Expected CNA Staffing Hours per Resident per Day
2.39189
Expected LPN Staffing Hours per Resident per Day
0.60544
Expected RN Staffing Hours per Resident per Day
0.94643
Expected Total Nurse Staffing Hours per Resident per Day
3.94376
Adjusted CNA Staffing Hours per Resident per Day
2.21803
Adjusted LPN Staffing Hours per Resident per Day
0.84663
Adjusted RN Staffing Hours per Resident per Day
0.44223
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41367
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
74
Cycle 1 Total Health Score
222
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
139.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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