Sharon Health Care Willows - Peoria Nursing Home
General Information
UPDATEFederal Provider Number
14E888
Provider Name
SHARON HEALTH CARE WILLOWS
Provider Address
3520 NORTH ROCHELLE
PEORIA, IL 61604
PEORIA, IL 61604
Provider Phone Number
(309) 688-0451
Provider SSA County
800
Provider County Name
Peoria
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
219
Number of Residents in Certified Beds
182
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
1990-09-11
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
3
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.43984
Reported LPN Staffing Hours per Resident per Day
0.48791
Reported RN Staffing Hours per Resident per Day
0.22088
Reported Licensed Staffing Hours per Resident per Day
0.70879
Reported Total Nurse Staffing Hours per Resident per Day
2.14863
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00302
Expected CNA Staffing Hours per Resident per Day
2.47293
Expected LPN Staffing Hours per Resident per Day
0.54430
Expected RN Staffing Hours per Resident per Day
0.77122
Expected Total Nurse Staffing Hours per Resident per Day
3.78845
Adjusted CNA Staffing Hours per Resident per Day
1.42864
Adjusted LPN Staffing Hours per Resident per Day
0.74401
Adjusted RN Staffing Hours per Resident per Day
0.21400
Adjusted Total Nurse Staffing Hours per Resident per Day
2.28614
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-06-20
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-08-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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