Toulon Rehab & Health Care Center - Toulon Nursing Home
General Information
UPDATEFederal Provider Number
145442
Provider Name
TOULON REHAB & HEALTH CARE CENTER
Provider Address
HIGHWAY 17 EAST P O BOX 209
TOULON, IL 61483
TOULON, IL 61483
Provider Phone Number
3092862631
Provider SSA County
960
Provider County Name
Stark
Ownership Type
For profit - Corporation
Number of Certified Beds
136
Number of Residents in Certified Beds
77
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN MANAGEMENT COMPANY, LLC
Date First Approved to Provide Medicare and Medicaid services
1982-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.16299
Reported LPN Staffing Hours per Resident per Day
1.01299
Reported RN Staffing Hours per Resident per Day
0.52987
Reported Licensed Staffing Hours per Resident per Day
1.54286
Reported Total Nurse Staffing Hours per Resident per Day
3.70585
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00714
Expected CNA Staffing Hours per Resident per Day
2.33056
Expected LPN Staffing Hours per Resident per Day
0.54340
Expected RN Staffing Hours per Resident per Day
0.73311
Expected Total Nurse Staffing Hours per Resident per Day
3.60707
Adjusted CNA Staffing Hours per Resident per Day
2.27727
Adjusted LPN Staffing Hours per Resident per Day
1.54726
Adjusted RN Staffing Hours per Resident per Day
0.54005
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14128
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
703
Cycle 2 Standard Health Survey Date
2013-10-07
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
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
237.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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