Helia Healthcare Of Belleville - Belleville Nursing Home
General Information
UPDATEFederal Provider Number
145289
Provider Name
HELIA HEALTHCARE OF BELLEVILLE
Provider Address
40 NORTH 64TH STREET
BELLEVILLE, IL 62223
BELLEVILLE, IL 62223
Provider Phone Number
(618) 397-8400
Provider SSA County
900
Provider County Name
St. Clair
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIA HEALTHCARE OF BELLEVILLE
Date First Approved to Provide Medicare and Medicaid services
1975-02-07
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
1.96824
Reported LPN Staffing Hours per Resident per Day
1.58176
Reported RN Staffing Hours per Resident per Day
0.94588
Reported Licensed Staffing Hours per Resident per Day
2.52765
Reported Total Nurse Staffing Hours per Resident per Day
4.49588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06647
Expected CNA Staffing Hours per Resident per Day
2.50535
Expected LPN Staffing Hours per Resident per Day
0.91430
Expected RN Staffing Hours per Resident per Day
1.36509
Expected Total Nurse Staffing Hours per Resident per Day
4.78474
Adjusted CNA Staffing Hours per Resident per Day
1.92766
Adjusted LPN Staffing Hours per Resident per Day
1.43592
Adjusted RN Staffing Hours per Resident per Day
0.51774
Adjusted Total Nurse Staffing Hours per Resident per Day
3.78755
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-06-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
96.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
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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