Heritage Health-staunton - Staunton Nursing Home
General Information
UPDATEFederal Provider Number
145286
Provider Name
HERITAGE HEALTH-STAUNTON
Provider Address
215 WEST PENNSYLVANIA AVENUE
STAUNTON, IL 62088
STAUNTON, IL 62088
Provider Phone Number
6186355577
Provider SSA County
670
Provider County Name
Macoupin
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR - STAUNTON, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1975-05-01
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
1
QM Rating Footnote
Staffing Rating
2
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
1.96290
Reported LPN Staffing Hours per Resident per Day
0.56371
Reported RN Staffing Hours per Resident per Day
0.61855
Reported Licensed Staffing Hours per Resident per Day
1.18226
Reported Total Nurse Staffing Hours per Resident per Day
3.14516
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00565
Expected CNA Staffing Hours per Resident per Day
2.63273
Expected LPN Staffing Hours per Resident per Day
0.64136
Expected RN Staffing Hours per Resident per Day
0.92729
Expected Total Nurse Staffing Hours per Resident per Day
4.20138
Adjusted CNA Staffing Hours per Resident per Day
1.82942
Adjusted LPN Staffing Hours per Resident per Day
0.72951
Adjusted RN Staffing Hours per Resident per Day
0.49842
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01754
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
2015-03-12
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-04-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
32
Cycle 3 Standard Health Survey Date
2013-03-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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-gillespie
7588 Staunton Road |
GILLESPIE IL 62033 | 6.6 miles away
Friendship Skilled Nsg & Rehab
826 North High |
CARLINVILLE IL 62626 | 19.4 miles away
Carlinville Rehab & Hcc
751 North Oak Street |
CARLINVILLE IL 62626 | 19.5 miles away
Heritage Health-carlinville
1200 University Avenue |
CARLINVILLE IL 62626 | 19.7 miles away
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