Heritage Health-dwight - Dwight Nursing Home
General Information
UPDATEFederal Provider Number
145452
Provider Name
HERITAGE HEALTH-DWIGHT
Provider Address
300 EAST MAZON AVENUE
DWIGHT, IL 60420
DWIGHT, IL 60420
Provider Phone Number
(815) 584-1240
Provider SSA County
610
Provider County Name
Livingston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR DWIGHT, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-09-18
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
3
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
2.39747
Reported LPN Staffing Hours per Resident per Day
0.12468
Reported RN Staffing Hours per Resident per Day
0.74304
Reported Licensed Staffing Hours per Resident per Day
0.86772
Reported Total Nurse Staffing Hours per Resident per Day
3.26519
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06899
Expected CNA Staffing Hours per Resident per Day
2.47986
Expected LPN Staffing Hours per Resident per Day
0.55811
Expected RN Staffing Hours per Resident per Day
0.90525
Expected Total Nurse Staffing Hours per Resident per Day
3.94322
Adjusted CNA Staffing Hours per Resident per Day
2.37218
Adjusted LPN Staffing Hours per Resident per Day
0.18542
Adjusted RN Staffing Hours per Resident per Day
0.61331
Adjusted Total Nurse Staffing Hours per Resident per Day
3.33779
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
24
Cycle 1 Standard Survey Health Date
2014-06-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
92
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
92
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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