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Aperion Care Amboy - Amboy Nursing Home

General Information

UPDATE
Federal Provider Number
145523
Provider Name
APERION CARE AMBOY
Provider Address
15 WEST WASSON ROAD
AMBOY, IL 61310
Provider Phone Number
8158572550
Provider SSA County
600
Provider County Name
Lee
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
47
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
APERION CARE AMBOY LLC
Date First Approved to Provide Medicare and Medicaid services
1985-03-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Resident
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
2
QM Rating Footnote
Staffing Rating
3
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
2.12872
Reported LPN Staffing Hours per Resident per Day
0.75106
Reported RN Staffing Hours per Resident per Day
0.53298
Reported Licensed Staffing Hours per Resident per Day
1.28404
Reported Total Nurse Staffing Hours per Resident per Day
3.41276
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12128
Expected CNA Staffing Hours per Resident per Day
2.49304
Expected LPN Staffing Hours per Resident per Day
0.68643
Expected RN Staffing Hours per Resident per Day
0.97788
Expected Total Nurse Staffing Hours per Resident per Day
4.15735
Adjusted CNA Staffing Hours per Resident per Day
2.09513
Adjusted LPN Staffing Hours per Resident per Day
0.90815
Adjusted RN Staffing Hours per Resident per Day
0.40725
Adjusted Total Nurse Staffing Hours per Resident per Day
3.30896
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2014-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-05-09
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
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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