Helia Healthcare Of Champaign - Champaign Nursing Home
General Information
UPDATEFederal Provider Number
145924
Provider Name
HELIA HEALTHCARE OF CHAMPAIGN
Provider Address
1915 SOUTH MATTIS STREET
CHAMPAIGN, IL 61821
CHAMPAIGN, IL 61821
Provider Phone Number
(217) 352-0516
Provider SSA County
90
Provider County Name
Champaign
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
68
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIA HEALTHCARE OF CHAMPAIGN LLC
Date First Approved to Provide Medicare and Medicaid services
1997-02-05
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
3
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
1.60294
Reported LPN Staffing Hours per Resident per Day
0.50809
Reported RN Staffing Hours per Resident per Day
0.48162
Reported Licensed Staffing Hours per Resident per Day
0.98971
Reported Total Nurse Staffing Hours per Resident per Day
2.59265
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03382
Expected CNA Staffing Hours per Resident per Day
2.22129
Expected LPN Staffing Hours per Resident per Day
0.59312
Expected RN Staffing Hours per Resident per Day
0.90104
Expected Total Nurse Staffing Hours per Resident per Day
3.71545
Adjusted CNA Staffing Hours per Resident per Day
1.77065
Adjusted LPN Staffing Hours per Resident per Day
0.71101
Adjusted RN Staffing Hours per Resident per Day
0.39939
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81277
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
358
Cycle 2 Standard Health Survey Date
2013-12-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
358
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
124
Cycle 3 Standard Health Survey Date
2012-10-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
124
Total Weighted Health Survey Score
168.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
17
Number of Fines
2
Total Amount of Fines in Dollars
71220
Number of Payment Denials
1
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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