Heritage Health-lasalle - La Salle Nursing Home
General Information
UPDATEFederal Provider Number
145394
Provider Name
HERITAGE HEALTH-LASALLE
Provider Address
1445 CHARTRES STREET
LA SALLE, IL 61301
LA SALLE, IL 61301
Provider Phone Number
(815) 223-4700
Provider SSA County
580
Provider County Name
La Salle
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
79
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR LASALLE, LLC
Date First Approved to Provide Medicare and Medicaid services
1980-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
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
2.16899
Reported LPN Staffing Hours per Resident per Day
0.56392
Reported RN Staffing Hours per Resident per Day
0.67278
Reported Licensed Staffing Hours per Resident per Day
1.23671
Reported Total Nurse Staffing Hours per Resident per Day
3.40569
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03608
Expected CNA Staffing Hours per Resident per Day
2.52019
Expected LPN Staffing Hours per Resident per Day
0.59547
Expected RN Staffing Hours per Resident per Day
0.83488
Expected Total Nurse Staffing Hours per Resident per Day
3.95054
Adjusted CNA Staffing Hours per Resident per Day
2.11177
Adjusted LPN Staffing Hours per Resident per Day
0.78602
Adjusted RN Staffing Hours per Resident per Day
0.60213
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47497
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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