Havana Health Care Center - Havana Nursing Home
General Information
UPDATEFederal Provider Number
145774
Provider Name
HAVANA HEALTH CARE CENTER
Provider Address
609 NORTH HARPHAM STREET
HAVANA, IL 62644
HAVANA, IL 62644
Provider Phone Number
(309) 543-6121
Provider SSA County
710
Provider County Name
Mason
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1994-02-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
2
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
1.70726
Reported LPN Staffing Hours per Resident per Day
0.59597
Reported RN Staffing Hours per Resident per Day
0.61532
Reported Licensed Staffing Hours per Resident per Day
1.21129
Reported Total Nurse Staffing Hours per Resident per Day
2.91855
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01371
Expected CNA Staffing Hours per Resident per Day
2.43058
Expected LPN Staffing Hours per Resident per Day
0.62382
Expected RN Staffing Hours per Resident per Day
0.91305
Expected Total Nurse Staffing Hours per Resident per Day
3.96745
Adjusted CNA Staffing Hours per Resident per Day
1.72350
Adjusted LPN Staffing Hours per Resident per Day
0.79294
Adjusted RN Staffing Hours per Resident per Day
0.50355
Adjusted Total Nurse Staffing Hours per Resident per Day
2.96523
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
130
Cycle 2 Standard Health Survey Date
2014-04-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
130
Cycle 3 Total Number of Health Deficiencies
25
Cycle 3 Number of Standard Health Deficiencies
25
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
415
Cycle 3 Standard Health Survey Date
2013-06-25
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
208
Cycle 3 Total Health Score
623
Total Weighted Health Survey Score
205.16700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
64607
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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Nursiong Homes Nearby
Mason City Area Nursing Home
520 North Price Avenue |
MASON CITY IL 62664 | 20.9 miles away