Helia Healthcare Of Energy - Energy Nursing Home

General Information

UPDATE
Federal Provider Number
146045
Provider Name
HELIA HEALTHCARE OF ENERGY
Provider Address
210 EAST COLLEGE, PO BOX 519
ENERGY, IL 62933
Provider Phone Number
(618) 942-7014
Provider SSA County
990
Provider County Name
Williamson
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
91
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HELIA HEALTHCARE OF ENERGY LLC
Date First Approved to Provide Medicare and Medicaid services
2003-02-14
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.81339
Reported LPN Staffing Hours per Resident per Day
0.71161
Reported RN Staffing Hours per Resident per Day
1.20446
Reported Licensed Staffing Hours per Resident per Day
1.91607
Reported Total Nurse Staffing Hours per Resident per Day
4.72946
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20446
Expected CNA Staffing Hours per Resident per Day
2.40711
Expected LPN Staffing Hours per Resident per Day
0.67167
Expected RN Staffing Hours per Resident per Day
1.29620
Expected Total Nurse Staffing Hours per Resident per Day
4.37497
Adjusted CNA Staffing Hours per Resident per Day
2.86784
Adjusted LPN Staffing Hours per Resident per Day
0.87936
Adjusted RN Staffing Hours per Resident per Day
0.69432
Adjusted Total Nurse Staffing Hours per Resident per Day
4.35751
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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