Heritage Health-springfield - Springfield Nursing Home
General Information
UPDATEFederal Provider Number
145229
Provider Name
HERITAGE HEALTH-SPRINGFIELD
Provider Address
900 NORTH RUTLEDGE
SPRINGFIELD, IL 62702
SPRINGFIELD, IL 62702
Provider Phone Number
(217) 789-0930
Provider SSA County
920
Provider County Name
Sangamon
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
177
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RUTLEDGE JOINT VENTURES, LLC
Date First Approved to Provide Medicare and Medicaid services
1973-10-01
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
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
2.58344
Reported LPN Staffing Hours per Resident per Day
0.91429
Reported RN Staffing Hours per Resident per Day
0.62403
Reported Licensed Staffing Hours per Resident per Day
1.53831
Reported Total Nurse Staffing Hours per Resident per Day
4.12176
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04416
Expected CNA Staffing Hours per Resident per Day
2.49560
Expected LPN Staffing Hours per Resident per Day
0.57062
Expected RN Staffing Hours per Resident per Day
0.94624
Expected Total Nurse Staffing Hours per Resident per Day
4.01246
Adjusted CNA Staffing Hours per Resident per Day
2.54006
Adjusted LPN Staffing Hours per Resident per Day
1.32988
Adjusted RN Staffing Hours per Resident per Day
0.49277
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14070
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
38.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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