Amberwood Care Centre - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
145908
Provider Name
AMBERWOOD CARE CENTRE
Provider Address
2313 NORTH ROCKTON AVENUE
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Provider Phone Number
(815) 964-2200
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
137
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AMBD PROPERTY LLC
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.12130
Reported LPN Staffing Hours per Resident per Day
0.62000
Reported RN Staffing Hours per Resident per Day
0.69087
Reported Licensed Staffing Hours per Resident per Day
1.31087
Reported Total Nurse Staffing Hours per Resident per Day
3.43217
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03739
Expected CNA Staffing Hours per Resident per Day
2.54771
Expected LPN Staffing Hours per Resident per Day
0.66641
Expected RN Staffing Hours per Resident per Day
0.99629
Expected Total Nurse Staffing Hours per Resident per Day
4.21040
Adjusted CNA Staffing Hours per Resident per Day
2.04303
Adjusted LPN Staffing Hours per Resident per Day
0.77219
Adjusted RN Staffing Hours per Resident per Day
0.51814
Adjusted Total Nurse Staffing Hours per Resident per Day
3.28584
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-10-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-11-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-01-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
49.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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