Helia Healthcare Of Benton - Benton Nursing Home
General Information
UPDATEFederal Provider Number
146088
Provider Name
HELIA HEALTHCARE OF BENTON
Provider Address
1310 MARK FRANKLIN LOUIS STREET
BENTON, IL 62812
BENTON, IL 62812
Provider Phone Number
(618) 439-3500
Provider SSA County
360
Provider County Name
Franklin
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
83
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIA HEALTHCARE OF BENTON, LLC
Date First Approved to Provide Medicare and Medicaid services
2005-08-12
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
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.42803
Reported LPN Staffing Hours per Resident per Day
0.30303
Reported RN Staffing Hours per Resident per Day
0.17273
Reported Licensed Staffing Hours per Resident per Day
0.47576
Reported Total Nurse Staffing Hours per Resident per Day
1.90379
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04318
Expected CNA Staffing Hours per Resident per Day
2.45481
Expected LPN Staffing Hours per Resident per Day
0.75083
Expected RN Staffing Hours per Resident per Day
1.24873
Expected Total Nurse Staffing Hours per Resident per Day
4.45437
Adjusted CNA Staffing Hours per Resident per Day
1.42739
Adjusted LPN Staffing Hours per Resident per Day
0.33498
Adjusted RN Staffing Hours per Resident per Day
0.10336
Adjusted Total Nurse Staffing Hours per Resident per Day
1.72280
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
453
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
453
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
176.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
1
Total Amount of Fines in Dollars
55182
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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