Arba Care Center Of Colfax - Colfax Nursing Home

General Information

UPDATE
Federal Provider Number
145992
Provider Name
ARBA CARE CENTER OF COLFAX
Provider Address
402 SOUTH HARRISON
COLFAX, IL 61728
Provider Phone Number
3097232591
Provider SSA County
650
Provider County Name
Mc Lean
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASTA CARE CENTER OF COLFAX LLC
Date First Approved to Provide Medicare and Medicaid services
2000-03-01
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
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10513
Reported LPN Staffing Hours per Resident per Day
0.60769
Reported RN Staffing Hours per Resident per Day
0.40513
Reported Licensed Staffing Hours per Resident per Day
1.01282
Reported Total Nurse Staffing Hours per Resident per Day
3.11795
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01154
Expected CNA Staffing Hours per Resident per Day
2.39896
Expected LPN Staffing Hours per Resident per Day
0.66136
Expected RN Staffing Hours per Resident per Day
1.07847
Expected Total Nurse Staffing Hours per Resident per Day
4.13879
Adjusted CNA Staffing Hours per Resident per Day
2.15316
Adjusted LPN Staffing Hours per Resident per Day
0.76265
Adjusted RN Staffing Hours per Resident per Day
0.28069
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03667
Cycle 1 Total Number of Health Deficiencies
27
Cycle 1 Number of Standard Health Deficiencies
17
Cycle 1 Number of Complaint Health Deficiencies
16
Cycle 1 Health Deficiency Score
1083
Cycle 1 Standard Survey Health Date
2014-09-09
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
542
Cycle 1 Total Health Score
1625
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-10-23
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
7
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-11-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
827.16700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
17
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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