Heartland of Champaign
309 East Springfield, Champaign, IL 61820


Heartland of Champaign is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 145190. The address is 309 East Springfield, Champaign, IL 61820. The zip code is 61820. The phone number is 2173525135.


Heartland of Champaign · 309 East Springfield, Champaign, IL 61820

Federal Provider Number 145190
Provider Name HEARTLAND OF CHAMPAIGN
Address 309 EAST SPRINGFIELD
CHAMPAIGN, IL 61820
Phone Number 2173525135
SSA County Code 90
County Name Champaign
Ownership Type For profit - Corporation
Certified Beds 102
Certified Beds Residents 69
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name HEARTLAND OF CHAMPAIGN IL LLC
Date First Approved to Provide Medicare Medicaid Services 09/11/1968
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 1
Health Inspection Rating 1
Quality Measure Rating 4
Staffing Rating 3
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 2.5
Reported LPN Staffing Hours per Resident per Day 0.86232
Reported RN Staffing Hours per Resident per Day 0.69348
Reported Licensed Staffing Hours per Resident per Day 1.5558
Reported Total Nurse Staffing Hours per Resident per Day 4.0558
Reported Physical Therapist Staffing Hours per Resident Per Day 0.25725
Expected CNA Staffing Hours per Resident per Day 2.59731
Expected LPN Staffing Hours per Resident per Day 0.70025
Expected RN Staffing Hours per Resident per Day 1.17435
Expected Total Nurse Staffing Hours per Resident per Day 4.47191
Adjusted CNA Staffing Hours per Resident per Day 2.36177
Adjusted LPN Staffing Hours per Resident per Day 1.02209
Adjusted RN Staffing Hours per Resident per Day 0.44124
Adjusted Total Nurse Staffing Hours per Resident per Day 3.65583
Cycle 1 Total Number of Health Deficiencies 25
Cycle 1 Number of Standard Health Deficiencies 9
Cycle 1 Number of Complaint Health Deficiencies 16
Cycle 1 Health Deficiency Score 148
Cycle 1 Standard Survey Health Date 05/25/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 148
Cycle 2 Total Number of Health Deficiencies 7
Cycle 2 Number of Standard Health Deficiencies 2
Cycle 2 Number of Complaint Health Deficiencies 5
Cycle 2 Health Deficiency Score 64
Cycle 2 Standard Health Survey Date 04/08/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 64
Cycle 3 Total Number of Health Deficiencies 15
Cycle 3 Number of Standard Health Deficiencies 7
Cycle 3 Number of Complaint Health Deficiencies 8
Cycle 3 Health Deficiency Score 209
Cycle 3 Standard Health Survey Date 03/13/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 209
Total Weighted Health Survey Score 130.167
Number of Facility Reported Incidents 2
Number of Substantiated Complaints 27
Number of Fines 1
Total Amount of Fines in Dollars $38220.00
Total Number of Penalties 1
Processing Date 08/01/2017

Owner or Manager · Heartland of Champaign

Owner Name Role Association Date
ALLEN, MARTIN (Individual) DIRECTOR since 12/21/2007
BAKER, JEFFERY (Individual) MANAGING EMPLOYEE since 08/17/2015
CARLYLE MC PARTNERS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC HOLDINGS, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
CARLYLE PARTNERS V MC, L.P. (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR II HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR III HEALTHCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HCR IV HEALTHCARE, LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/20/2007
HCR MANOR CARE SERVICES LLC (Organization) OPERATIONAL/MANAGERIAL CONTROL since 12/20/2007
HCR MANORCARE HEARTLAND LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
HCR MANORCARE OPERATIONS II, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 04/07/2011
HCR MANORCARE, LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
HEALTHCARE OPERATIONS HOLDINGS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HEALTHCARE OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
HOOPS, KATHRYN (Individual) OFFICER since 12/21/2007
KACZOR, ELIZABETH (Individual) OFFICER since 09/30/2012
KIGHT, DANIEL (Individual) OFFICER since 09/30/2012
KILE, THOMAS (Individual) OFFICER since 01/01/2010
LANNING, DAVID (Individual) OFFICER since 05/01/2015
MANOR CARE INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/21/2007
MC OPERATIONS INVESTMENTS LLC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
MCCORMICK, PATRICIA (Individual) OFFICER since 07/02/2012
ORMOND, PAUL (Individual) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 12/31/2011
ORMOND, PAUL (Individual) OPERATIONAL/MANAGERIAL CONTROL since 01/01/2007
QUALITY CARE PROPERTIES INC (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
NO PERCENTAGE PROVIDED
since 10/31/2016
SHIPMAN, DEAN (Individual) MANAGING EMPLOYEE since 05/01/2016

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