Heritage Square
Heritage Square Information
| Facility Name | Heritage Square |
| Location | 620 North Ottawa Avenue, Dixon, IL 61021 |
| County (SSA Code) | Lee (600) |
| Phone Number | 815-288-2251 |
| Certification(s) | Medicaid |
| Number of Beds | 27 |
| Average Number of Residents | 22.6 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Both |
| Provider Business Name | Legal Business Name Not Available |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 1984-11-09 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 4.14009 |
| Reported LPN Staffing Hours per Resident per Day | 0.98406 |
| Reported RN Staffing - Hours per Resident per Day | 0.86271 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.84676 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.98685 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.00243 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.2318 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.62297 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.2468 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.10157 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.15405 |
| Total Weighted Health Survey Score for three cycles | 34 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-21 |
| Rating cycle 1 - Health Deficiency Score | 2 |
| Rating cycle 1 - Total Health Inspection Score | 76 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-26 |
| Rating cycle 2 - Health Deficiency Score | 76 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-09-14 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |