Heartland Of Macomb - Macomb Nursing Home
General Information
UPDATEFederal Provider Number
145021
Provider Name
HEARTLAND OF MACOMB
Provider Address
8 DOCTORS LANE
MACOMB, IL 61455
MACOMB, IL 61455
Provider Phone Number
(309) 833-5555
Provider SSA County
630
Provider County Name
Mc Donough
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
80
Number of Residents in Certified Beds
67
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF MACOMB 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
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
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11940
Reported LPN Staffing Hours per Resident per Day
0.54478
Reported RN Staffing Hours per Resident per Day
0.91045
Reported Licensed Staffing Hours per Resident per Day
1.45522
Reported Total Nurse Staffing Hours per Resident per Day
3.57463
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21866
Expected CNA Staffing Hours per Resident per Day
2.73545
Expected LPN Staffing Hours per Resident per Day
0.65946
Expected RN Staffing Hours per Resident per Day
0.99713
Expected Total Nurse Staffing Hours per Resident per Day
4.39204
Adjusted CNA Staffing Hours per Resident per Day
1.90110
Adjusted LPN Staffing Hours per Resident per Day
0.68566
Adjusted RN Staffing Hours per Resident per Day
0.68225
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28070
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
2014-10-16
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
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
613
Cycle 2 Standard Health Survey Date
2013-09-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
613
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
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
205.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
13000
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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