Heartland Of Henry - Henry Nursing Home
General Information
UPDATEFederal Provider Number
145604
Provider Name
HEARTLAND OF HENRY
Provider Address
1650 INDIAN TOWN ROAD
HENRY, IL 61537
HENRY, IL 61537
Provider Phone Number
(309) 364-3905
Provider SSA County
700
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
68
Number of Residents in Certified Beds
54
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF HENRY IL LLC
Date First Approved to Provide Medicare and Medicaid services
1988-12-05
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
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.01389
Reported LPN Staffing Hours per Resident per Day
0.81667
Reported RN Staffing Hours per Resident per Day
1.08704
Reported Licensed Staffing Hours per Resident per Day
1.90370
Reported Total Nurse Staffing Hours per Resident per Day
4.91760
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25648
Expected CNA Staffing Hours per Resident per Day
2.50721
Expected LPN Staffing Hours per Resident per Day
0.59566
Expected RN Staffing Hours per Resident per Day
1.02114
Expected Total Nurse Staffing Hours per Resident per Day
4.12401
Adjusted CNA Staffing Hours per Resident per Day
2.94956
Adjusted LPN Staffing Hours per Resident per Day
1.13796
Adjusted RN Staffing Hours per Resident per Day
0.79542
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80657
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-08-07
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
0.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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