Heritage Health-gillespie - Gillespie Nursing Home
General Information
UPDATEFederal Provider Number
145367
Provider Name
HERITAGE HEALTH-GILLESPIE
Provider Address
7588 STAUNTON ROAD
GILLESPIE, IL 62033
GILLESPIE, IL 62033
Provider Phone Number
2178392171
Provider SSA County
670
Provider County Name
Macoupin
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - GILLESPIE, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1978-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16313
Reported LPN Staffing Hours per Resident per Day
0.55000
Reported RN Staffing Hours per Resident per Day
0.45000
Reported Licensed Staffing Hours per Resident per Day
1.00000
Reported Total Nurse Staffing Hours per Resident per Day
3.16313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01938
Expected CNA Staffing Hours per Resident per Day
2.48250
Expected LPN Staffing Hours per Resident per Day
0.54470
Expected RN Staffing Hours per Resident per Day
0.88993
Expected Total Nurse Staffing Hours per Resident per Day
3.91713
Adjusted CNA Staffing Hours per Resident per Day
2.13803
Adjusted LPN Staffing Hours per Resident per Day
0.83807
Adjusted RN Staffing Hours per Resident per Day
0.37783
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25500
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
8
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
2013-04-11
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
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-05-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
4.66700
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
Nursiong Homes Nearby
Heritage Health-staunton
215 West Pennsylvania Avenue |
STAUNTON IL 62088 | 6.6 miles away
Friendship Skilled Nsg & Rehab
826 North High |
CARLINVILLE IL 62626 | 12.9 miles away
Carlinville Rehab & Hcc
751 North Oak Street |
CARLINVILLE IL 62626 | 12.9 miles away
Heritage Health-carlinville
1200 University Avenue |
CARLINVILLE IL 62626 | 13.1 miles away
Pleasant Hill Healthcare
1010 West North Street |
GIRARD IL 62640 | 23.6 miles away
Sunrise Skilled Nursing & Rehab
333 South Wrightsman Street |
VIRDEN IL 62690 | 26.9 miles away
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