Alden Alma Nelson Manor - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
145142
Provider Name
ALDEN ALMA NELSON MANOR
Provider Address
550 SOUTH MULFORD AVENUE
ROCKFORD, IL 61108
ROCKFORD, IL 61108
Provider Phone Number
(815) 484-1002
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
268
Number of Residents in Certified Beds
194
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-ALMA NELSON MANOR, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-03-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
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
1.42010
Reported LPN Staffing Hours per Resident per Day
0.52191
Reported RN Staffing Hours per Resident per Day
0.59278
Reported Licensed Staffing Hours per Resident per Day
1.11469
Reported Total Nurse Staffing Hours per Resident per Day
2.53479
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15799
Expected CNA Staffing Hours per Resident per Day
2.29691
Expected LPN Staffing Hours per Resident per Day
0.61840
Expected RN Staffing Hours per Resident per Day
0.96863
Expected Total Nurse Staffing Hours per Resident per Day
3.88394
Adjusted CNA Staffing Hours per Resident per Day
1.51704
Adjusted LPN Staffing Hours per Resident per Day
0.70049
Adjusted RN Staffing Hours per Resident per Day
0.45727
Adjusted Total Nurse Staffing Hours per Resident per Day
2.63070
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
10
Cycle 1 Health Deficiency Score
209
Cycle 1 Standard Survey Health Date
2014-08-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
209
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-08-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
16
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-09-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
145.83300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
37
Number of Fines
1
Total Amount of Fines in Dollars
35880
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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