Hallmark House Nursing Center - Pekin Nursing Home
General Information
UPDATEFederal Provider Number
145691
Provider Name
HALLMARK HOUSE NURSING CENTER
Provider Address
2501 ALLENTOWN ROAD
PEKIN, IL 61554
PEKIN, IL 61554
Provider Phone Number
(309) 347-3121
Provider SSA County
980
Provider County Name
Tazewell
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
71
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HALLMARK HOUSE NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1991-03-04
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59492
Reported LPN Staffing Hours per Resident per Day
0.45000
Reported RN Staffing Hours per Resident per Day
0.91610
Reported Licensed Staffing Hours per Resident per Day
1.36610
Reported Total Nurse Staffing Hours per Resident per Day
3.96102
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07966
Expected CNA Staffing Hours per Resident per Day
2.65661
Expected LPN Staffing Hours per Resident per Day
0.61793
Expected RN Staffing Hours per Resident per Day
1.01661
Expected Total Nurse Staffing Hours per Resident per Day
4.29116
Adjusted CNA Staffing Hours per Resident per Day
2.39672
Adjusted LPN Staffing Hours per Resident per Day
0.60443
Adjusted RN Staffing Hours per Resident per Day
0.67332
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72078
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
24
Cycle 1 Standard Survey Health Date
2014-08-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
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
28
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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