Heritage Health-pana - Pana Nursing Home
General Information
UPDATEFederal Provider Number
145267
Provider Name
HERITAGE HEALTH-PANA
Provider Address
1000 EAST SIXTH STREET ROAD
PANA, IL 62557
PANA, IL 62557
Provider Phone Number
(217) 562-2174
Provider SSA County
100
Provider County Name
Christian
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
151
Number of Residents in Certified Beds
94
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - PANA, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1974-03-01
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
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.59574
Reported LPN Staffing Hours per Resident per Day
0.62074
Reported RN Staffing Hours per Resident per Day
0.59894
Reported Licensed Staffing Hours per Resident per Day
1.21968
Reported Total Nurse Staffing Hours per Resident per Day
3.81542
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05691
Expected CNA Staffing Hours per Resident per Day
2.43877
Expected LPN Staffing Hours per Resident per Day
0.62510
Expected RN Staffing Hours per Resident per Day
1.00918
Expected Total Nurse Staffing Hours per Resident per Day
4.07304
Adjusted CNA Staffing Hours per Resident per Day
2.61164
Adjusted LPN Staffing Hours per Resident per Day
0.82421
Adjusted RN Staffing Hours per Resident per Day
0.44346
Adjusted Total Nurse Staffing Hours per Resident per Day
3.77594
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-23
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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