Heritage Health-normal - Normal Nursing Home
General Information
UPDATEFederal Provider Number
145732
Provider Name
HERITAGE HEALTH-NORMAL
Provider Address
509 NORTH ADELAIDE
NORMAL, IL 61761
NORMAL, IL 61761
Provider Phone Number
(309) 452-7468
Provider SSA County
650
Provider County Name
Mc Lean
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
164
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - NORMAL, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-08-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.56106
Reported LPN Staffing Hours per Resident per Day
0.66549
Reported RN Staffing Hours per Resident per Day
0.80531
Reported Licensed Staffing Hours per Resident per Day
1.47080
Reported Total Nurse Staffing Hours per Resident per Day
4.03186
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04159
Expected CNA Staffing Hours per Resident per Day
2.56332
Expected LPN Staffing Hours per Resident per Day
0.59054
Expected RN Staffing Hours per Resident per Day
0.91977
Expected Total Nurse Staffing Hours per Resident per Day
4.07363
Adjusted CNA Staffing Hours per Resident per Day
2.45153
Adjusted LPN Staffing Hours per Resident per Day
0.93535
Adjusted RN Staffing Hours per Resident per Day
0.65421
Adjusted Total Nurse Staffing Hours per Resident per Day
3.98956
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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