Sharon Health Care Elms - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
146098
Provider Name
SHARON HEALTH CARE ELMS
Provider Address
3611 NORTH ROCHELLE
PEORIA, IL 61604
PEORIA, IL 61604
Provider Phone Number
(309) 688-4412
Provider SSA County
800
Provider County Name
Peoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
98
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHARON HEALTH CARE ELMS, INC.
Date First Approved to Provide Medicare and Medicaid services
2006-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
1
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
1.55059
Reported LPN Staffing Hours per Resident per Day
0.32529
Reported RN Staffing Hours per Resident per Day
0.49941
Reported Licensed Staffing Hours per Resident per Day
0.82471
Reported Total Nurse Staffing Hours per Resident per Day
2.37529
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06059
Expected CNA Staffing Hours per Resident per Day
2.56320
Expected LPN Staffing Hours per Resident per Day
0.65930
Expected RN Staffing Hours per Resident per Day
1.13128
Expected Total Nurse Staffing Hours per Resident per Day
4.35378
Adjusted CNA Staffing Hours per Resident per Day
1.48435
Adjusted LPN Staffing Hours per Resident per Day
0.40951
Adjusted RN Staffing Hours per Resident per Day
0.32986
Adjusted Total Nurse Staffing Hours per Resident per Day
2.19913
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
123
Cycle 1 Standard Survey Health Date
2014-09-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
123
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
12
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
517
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
517
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
243.16700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
Number of Fines
4
Total Amount of Fines in Dollars
7669
Number of Payment Denials
1
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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