Sunny Acres Nursing Home - Petersburg Nursing Home
General Information
UPDATEFederal Provider Number
146068
Provider Name
SUNNY ACRES NURSING HOME
Provider Address
19130 SUNNY ACRES ROAD
PETERSBURG, IL 62675
PETERSBURG, IL 62675
Provider Phone Number
2176322334
Provider SSA County
730
Provider County Name
Menard
Ownership Type
Government - County
Number of Certified Beds
106
Number of Residents in Certified Beds
85
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SUNNY ACRES
Date First Approved to Provide Medicare and Medicaid services
2004-10-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.42000
Reported LPN Staffing Hours per Resident per Day
0.87647
Reported RN Staffing Hours per Resident per Day
0.45059
Reported Licensed Staffing Hours per Resident per Day
1.32706
Reported Total Nurse Staffing Hours per Resident per Day
3.74706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01824
Expected CNA Staffing Hours per Resident per Day
2.19075
Expected LPN Staffing Hours per Resident per Day
0.57199
Expected RN Staffing Hours per Resident per Day
0.84686
Expected Total Nurse Staffing Hours per Resident per Day
3.60959
Adjusted CNA Staffing Hours per Resident per Day
2.71047
Adjusted LPN Staffing Hours per Resident per Day
1.27183
Adjusted RN Staffing Hours per Resident per Day
0.39756
Adjusted Total Nurse Staffing Hours per Resident per Day
4.18441
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
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
2
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
18.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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