Heartland Of Galesburg - Galesburg Nursing Home
General Information
UPDATEFederal Provider Number
145012
Provider Name
HEARTLAND OF GALESBURG
Provider Address
280 EAST LOSEY STREET
GALESBURG, IL 61401
GALESBURG, IL 61401
Provider Phone Number
(309) 343-2166
Provider SSA County
560
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
65
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF GALESBURG IL, LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
1.94615
Reported LPN Staffing Hours per Resident per Day
0.74385
Reported RN Staffing Hours per Resident per Day
0.65923
Reported Licensed Staffing Hours per Resident per Day
1.40308
Reported Total Nurse Staffing Hours per Resident per Day
3.34923
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17923
Expected CNA Staffing Hours per Resident per Day
2.45217
Expected LPN Staffing Hours per Resident per Day
0.67196
Expected RN Staffing Hours per Resident per Day
1.04655
Expected Total Nurse Staffing Hours per Resident per Day
4.17068
Adjusted CNA Staffing Hours per Resident per Day
1.94736
Adjusted LPN Staffing Hours per Resident per Day
0.91880
Adjusted RN Staffing Hours per Resident per Day
0.47067
Adjusted Total Nurse Staffing Hours per Resident per Day
3.23698
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
7.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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