Heritage Health-el Paso - El Paso Nursing Home

General Information

UPDATE
Federal Provider Number
145319
Provider Name
HERITAGE HEALTH-EL PASO
Provider Address
555 EAST CLAY
EL PASO, IL 61738
Provider Phone Number
(309) 527-6240
Provider SSA County
992
Provider County Name
Woodford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
65
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - EL PASO, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.35727
Reported LPN Staffing Hours per Resident per Day
0.27273
Reported RN Staffing Hours per Resident per Day
1.03909
Reported Licensed Staffing Hours per Resident per Day
1.31182
Reported Total Nurse Staffing Hours per Resident per Day
3.66909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01273
Expected CNA Staffing Hours per Resident per Day
2.41065
Expected LPN Staffing Hours per Resident per Day
0.58773
Expected RN Staffing Hours per Resident per Day
0.95633
Expected Total Nurse Staffing Hours per Resident per Day
3.95471
Adjusted CNA Staffing Hours per Resident per Day
2.39937
Adjusted LPN Staffing Hours per Resident per Day
0.38515
Adjusted RN Staffing Hours per Resident per Day
0.81187
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73978
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
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
2014-01-16
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
17
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
395
Cycle 3 Standard Health Survey Date
2013-02-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
395
Total Weighted Health Survey Score
79.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
16600
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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