Presence St Anne Center - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
145563
Provider Name
PRESENCE ST ANNE CENTER
Provider Address
4405 HIGHCREST ROAD
ROCKFORD, IL 61107
ROCKFORD, IL 61107
Provider Phone Number
8152291999
Provider SSA County
991
Provider County Name
Winnebago
Ownership Type
Non profit - Church related
Number of Certified Beds
179
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESENCE LIFE CONNECTIONS
Date First Approved to Provide Medicare and Medicaid services
1986-10-29
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.24685
Reported LPN Staffing Hours per Resident per Day
0.89606
Reported RN Staffing Hours per Resident per Day
1.27795
Reported Licensed Staffing Hours per Resident per Day
2.17402
Reported Total Nurse Staffing Hours per Resident per Day
4.42086
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14685
Expected CNA Staffing Hours per Resident per Day
2.52375
Expected LPN Staffing Hours per Resident per Day
0.69988
Expected RN Staffing Hours per Resident per Day
1.21461
Expected Total Nurse Staffing Hours per Resident per Day
4.43824
Adjusted CNA Staffing Hours per Resident per Day
2.18449
Adjusted LPN Staffing Hours per Resident per Day
1.06265
Adjusted RN Staffing Hours per Resident per Day
0.78616
Adjusted Total Nurse Staffing Hours per Resident per Day
4.01512
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-07-24
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
11
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-08-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
23.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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Rosewood Care Center Of Rockford
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