Heritage Health-beardstown - Beardstown Nursing Home
General Information
UPDATEFederal Provider Number
145952
Provider Name
HERITAGE HEALTH-BEARDSTOWN
Provider Address
8306 ST LUKES DRIVE
BEARDSTOWN, IL 62618
BEARDSTOWN, IL 62618
Provider Phone Number
(217) 323-9454
Provider SSA County
80
Provider County Name
Cass
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
79
Number of Residents in Certified Beds
66
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - BEARDSTOWN SOUTH, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-11-25
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
4
Health Inspection Rating Footnote
QM Rating
4
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
1.81061
Reported LPN Staffing Hours per Resident per Day
0.73030
Reported RN Staffing Hours per Resident per Day
0.51061
Reported Licensed Staffing Hours per Resident per Day
1.24091
Reported Total Nurse Staffing Hours per Resident per Day
3.05152
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01061
Expected CNA Staffing Hours per Resident per Day
2.56305
Expected LPN Staffing Hours per Resident per Day
0.59477
Expected RN Staffing Hours per Resident per Day
0.89642
Expected Total Nurse Staffing Hours per Resident per Day
4.05424
Adjusted CNA Staffing Hours per Resident per Day
1.73336
Adjusted LPN Staffing Hours per Resident per Day
1.01913
Adjusted RN Staffing Hours per Resident per Day
0.42561
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03395
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-24
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-03-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-04-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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