Heartland Of Moline - Moline Nursing Home
General Information
UPDATEFederal Provider Number
145027
Provider Name
HEARTLAND OF MOLINE
Provider Address
833 SIXTEENTH AVENUE
MOLINE, IL 61265
MOLINE, IL 61265
Provider Phone Number
(309) 764-6744
Provider SSA County
890
Provider County Name
Rock Island
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF MOLINE 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
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.45207
Reported LPN Staffing Hours per Resident per Day
0.89711
Reported RN Staffing Hours per Resident per Day
0.57397
Reported Licensed Staffing Hours per Resident per Day
1.47107
Reported Total Nurse Staffing Hours per Resident per Day
3.92315
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17397
Expected CNA Staffing Hours per Resident per Day
2.65309
Expected LPN Staffing Hours per Resident per Day
0.70566
Expected RN Staffing Hours per Resident per Day
1.27504
Expected Total Nurse Staffing Hours per Resident per Day
4.63380
Adjusted CNA Staffing Hours per Resident per Day
2.26778
Adjusted LPN Staffing Hours per Resident per Day
1.05518
Adjusted RN Staffing Hours per Resident per Day
0.33636
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41271
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2014-12-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
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
12
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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