Sterling Pavilion - Sterling Nursing Home
General Information
UPDATEFederal Provider Number
145278
Provider Name
STERLING PAVILION
Provider Address
105 EAST 23RD STREET
STERLING, IL 61081
STERLING, IL 61081
Provider Phone Number
(815) 626-4264
Provider SSA County
988
Provider County Name
Whiteside
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
121
Number of Residents in Certified Beds
83
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
STERLING PAVILION, LTD.
Date First Approved to Provide Medicare and Medicaid services
1974-09-01
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
2.07590
Reported LPN Staffing Hours per Resident per Day
0.56506
Reported RN Staffing Hours per Resident per Day
0.45964
Reported Licensed Staffing Hours per Resident per Day
1.02470
Reported Total Nurse Staffing Hours per Resident per Day
3.10060
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10181
Expected CNA Staffing Hours per Resident per Day
2.51980
Expected LPN Staffing Hours per Resident per Day
0.65515
Expected RN Staffing Hours per Resident per Day
1.07487
Expected Total Nurse Staffing Hours per Resident per Day
4.24983
Adjusted CNA Staffing Hours per Resident per Day
2.02144
Adjusted LPN Staffing Hours per Resident per Day
0.71587
Adjusted RN Staffing Hours per Resident per Day
0.31952
Adjusted Total Nurse Staffing Hours per Resident per Day
2.94087
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
124
Cycle 2 Standard Health Survey Date
2013-05-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
124
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-06-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
113.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
19
Number of Fines
4
Total Amount of Fines in Dollars
12800
Number of Payment Denials
0
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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