Pleasant View Luther Home - Ottawa Nursing Home
General Information
UPDATEFederal Provider Number
145801
Provider Name
PLEASANT VIEW LUTHER HOME
Provider Address
505 COLLEGE AVENUE
OTTAWA, IL 61350
OTTAWA, IL 61350
Provider Phone Number
(815) 434-1130
Provider SSA County
580
Provider County Name
La Salle
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLEASANT VIEW LUTHER HOME INC
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.33841
Reported LPN Staffing Hours per Resident per Day
0.29146
Reported RN Staffing Hours per Resident per Day
0.90488
Reported Licensed Staffing Hours per Resident per Day
1.19634
Reported Total Nurse Staffing Hours per Resident per Day
3.53475
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06707
Expected CNA Staffing Hours per Resident per Day
2.47739
Expected LPN Staffing Hours per Resident per Day
0.60661
Expected RN Staffing Hours per Resident per Day
0.91118
Expected Total Nurse Staffing Hours per Resident per Day
3.99518
Adjusted CNA Staffing Hours per Resident per Day
2.31604
Adjusted LPN Staffing Hours per Resident per Day
0.39879
Adjusted RN Staffing Hours per Resident per Day
0.74204
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56635
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-12-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-02-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
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
0
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
43.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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