Heartland Of Champaign - Champaign Nursing Home
General Information
UPDATEFederal Provider Number
145190
Provider Name
HEARTLAND OF CHAMPAIGN
Provider Address
309 EAST SPRINGFIELD
CHAMPAIGN, IL 61820
CHAMPAIGN, IL 61820
Provider Phone Number
(217) 352-5135
Provider SSA County
90
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
102
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF CHAMPAIGN IL LLC
Date First Approved to Provide Medicare and Medicaid services
1968-09-11
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
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
2.47384
Reported LPN Staffing Hours per Resident per Day
0.71163
Reported RN Staffing Hours per Resident per Day
0.69419
Reported Licensed Staffing Hours per Resident per Day
1.40581
Reported Total Nurse Staffing Hours per Resident per Day
3.87966
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20116
Expected CNA Staffing Hours per Resident per Day
2.53489
Expected LPN Staffing Hours per Resident per Day
0.70673
Expected RN Staffing Hours per Resident per Day
1.22347
Expected Total Nurse Staffing Hours per Resident per Day
4.46508
Adjusted CNA Staffing Hours per Resident per Day
2.39461
Adjusted LPN Staffing Hours per Resident per Day
0.83576
Adjusted RN Staffing Hours per Resident per Day
0.42396
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50240
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-03-13
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
14
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
12
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2014-02-07
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
58
Cycle 2 Total Health Score
174
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
120.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
27
Number of Fines
2
Total Amount of Fines in Dollars
39065
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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