Sheldon Health Care Center - Sheldon Nursing Home

General Information

UPDATE
Federal Provider Number
14E360
Provider Name
SHELDON HEALTH CARE CENTER
Provider Address
170 WEST CONCORD
SHELDON, IL 60966
Provider Phone Number
(815) 429-3522
Provider SSA County
460
Provider County Name
Iroquois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
31
Number of Residents in Certified Beds
25
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
1974-03-31
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.58200
Reported LPN Staffing Hours per Resident per Day
0.81400
Reported RN Staffing Hours per Resident per Day
0.54800
Reported Licensed Staffing Hours per Resident per Day
1.36200
Reported Total Nurse Staffing Hours per Resident per Day
2.94400
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.14722
Expected LPN Staffing Hours per Resident per Day
0.53181
Expected RN Staffing Hours per Resident per Day
0.69375
Expected Total Nurse Staffing Hours per Resident per Day
3.37278
Adjusted CNA Staffing Hours per Resident per Day
1.80780
Adjusted LPN Staffing Hours per Resident per Day
1.27043
Adjusted RN Staffing Hours per Resident per Day
0.59022
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51846
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
48
Cycle 1 Standard Survey Health Date
2014-05-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-08-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-07-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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