Heartland Of Peoria - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
145039
Provider Name
HEARTLAND OF PEORIA
Provider Address
5600 GLEN ELM DRIVE
PEORIA, IL 61614
PEORIA, IL 61614
Provider Phone Number
(309) 693-8777
Provider SSA County
800
Provider County Name
Peoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
130
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HEARTLAND OF PEORIA 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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
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
1.82769
Reported LPN Staffing Hours per Resident per Day
0.73462
Reported RN Staffing Hours per Resident per Day
0.70654
Reported Licensed Staffing Hours per Resident per Day
1.44115
Reported Total Nurse Staffing Hours per Resident per Day
3.26885
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11154
Expected CNA Staffing Hours per Resident per Day
2.44662
Expected LPN Staffing Hours per Resident per Day
0.65844
Expected RN Staffing Hours per Resident per Day
1.18891
Expected Total Nurse Staffing Hours per Resident per Day
4.29397
Adjusted CNA Staffing Hours per Resident per Day
1.83298
Adjusted LPN Staffing Hours per Resident per Day
0.92603
Adjusted RN Staffing Hours per Resident per Day
0.44404
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06859
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
206
Cycle 2 Standard Health Survey Date
2013-08-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
206
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
Number of Fines
1
Total Amount of Fines in Dollars
40951
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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