Heartland Manor Nursing Center - Casey Nursing Home
General Information
UPDATEFederal Provider Number
145416
Provider Name
HEARTLAND MANOR NURSING CENTER
Provider Address
410 NORTHWEST THIRD
CASEY, IL 62420
CASEY, IL 62420
Provider Phone Number
(217) 932-4081
Provider SSA County
110
Provider County Name
Clark
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
81
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND MANOR INC NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1981-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
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
2
Health Inspection Rating Footnote
QM Rating
1
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
2.41909
Reported LPN Staffing Hours per Resident per Day
0.88000
Reported RN Staffing Hours per Resident per Day
0.68000
Reported Licensed Staffing Hours per Resident per Day
1.56000
Reported Total Nurse Staffing Hours per Resident per Day
3.97909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01000
Expected CNA Staffing Hours per Resident per Day
2.15841
Expected LPN Staffing Hours per Resident per Day
0.60238
Expected RN Staffing Hours per Resident per Day
0.96840
Expected Total Nurse Staffing Hours per Resident per Day
3.72919
Adjusted CNA Staffing Hours per Resident per Day
2.75004
Adjusted LPN Staffing Hours per Resident per Day
1.21253
Adjusted RN Staffing Hours per Resident per Day
0.52468
Adjusted Total Nurse Staffing Hours per Resident per Day
4.30102
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-10-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
46.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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