Prairie Rose Health Care Ctr - Pana Nursing Home
General Information
UPDATEFederal Provider Number
145411
Provider Name
PRAIRIE ROSE HEALTH CARE CTR
Provider Address
900 SOUTH CHESTNUT
PANA, IL 62557
PANA, IL 62557
Provider Phone Number
(217) 562-3996
Provider SSA County
100
Provider County Name
Christian
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
56
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SJL HEALTH SYSTEMS INC
Date First Approved to Provide Medicare and Medicaid services
1980-08-08
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
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.90000
Reported LPN Staffing Hours per Resident per Day
0.70893
Reported RN Staffing Hours per Resident per Day
0.45268
Reported Licensed Staffing Hours per Resident per Day
1.16161
Reported Total Nurse Staffing Hours per Resident per Day
4.06161
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00982
Expected CNA Staffing Hours per Resident per Day
2.48887
Expected LPN Staffing Hours per Resident per Day
0.67187
Expected RN Staffing Hours per Resident per Day
0.97191
Expected Total Nurse Staffing Hours per Resident per Day
4.13265
Adjusted CNA Staffing Hours per Resident per Day
2.85902
Adjusted LPN Staffing Hours per Resident per Day
0.87578
Adjusted RN Staffing Hours per Resident per Day
0.34802
Adjusted Total Nurse Staffing Hours per Resident per Day
3.96161
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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