Sharon Health Care Pines - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
14E322
Provider Name
SHARON HEALTH CARE PINES
Provider Address
3614 NORTH ROCHELLE
PEORIA, IL 61604
PEORIA, IL 61604
Provider Phone Number
(309) 688-0350
Provider SSA County
800
Provider County Name
Peoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
116
Number of Residents in Certified Beds
92
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1978-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.74728
Reported LPN Staffing Hours per Resident per Day
0.45652
Reported RN Staffing Hours per Resident per Day
0.37446
Reported Licensed Staffing Hours per Resident per Day
0.83098
Reported Total Nurse Staffing Hours per Resident per Day
2.57826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00598
Expected CNA Staffing Hours per Resident per Day
2.01385
Expected LPN Staffing Hours per Resident per Day
0.53439
Expected RN Staffing Hours per Resident per Day
0.76172
Expected Total Nurse Staffing Hours per Resident per Day
3.30996
Adjusted CNA Staffing Hours per Resident per Day
2.12891
Adjusted LPN Staffing Hours per Resident per Day
0.70906
Adjusted RN Staffing Hours per Resident per Day
0.36732
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13983
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
87
Cycle 1 Standard Survey Health Date
2014-08-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
87
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
2013-06-27
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
0
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-07-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
47.50000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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