Illinois Nursing Homes >> Harvard Nursing Homes >> Mercy Harvard Hospital Care Center

Mercy Harvard Hospital Care Center - Harvard Nursing Home

General Information

UPDATE
Federal Provider Number
146014
Provider Name
MERCY HARVARD HOSPITAL CARE CENTER
Provider Address
901 SOUTH GRANT P O BOX 850
HARVARD, IL 60033
Provider Phone Number
(815) 943-2967
Provider SSA County
640
Provider County Name
Mc Henry
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
34
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
MERCY HARVARD HOSPITAL INC
Date First Approved to Provide Medicare and Medicaid services
2001-11-30
Continuing Care Retirement Community
N
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.20625
Reported LPN Staffing Hours per Resident per Day
0.09583
Reported RN Staffing Hours per Resident per Day
2.08542
Reported Licensed Staffing Hours per Resident per Day
2.18125
Reported Total Nurse Staffing Hours per Resident per Day
5.38750
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.56735
Expected LPN Staffing Hours per Resident per Day
0.49828
Expected RN Staffing Hours per Resident per Day
0.77014
Expected Total Nurse Staffing Hours per Resident per Day
3.83577
Adjusted CNA Staffing Hours per Resident per Day
3.06432
Adjusted LPN Staffing Hours per Resident per Day
0.15963
Adjusted RN Staffing Hours per Resident per Day
2.02331
Adjusted Total Nurse Staffing Hours per Resident per Day
5.66157
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-12-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
3.33300
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
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