Arba Care Center Of Toluca - Toluca Nursing Home
General Information
UPDATEFederal Provider Number
145413
Provider Name
ARBA CARE CENTER OF TOLUCA
Provider Address
101 EAST VIA GHIGLIERI
TOLUCA, IL 61369
TOLUCA, IL 61369
Provider Phone Number
(815) 452-2367
Provider SSA County
700
Provider County Name
Marshall
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
104
Number of Residents in Certified Beds
76
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASTA CARE CENTER OF TOLUCA LLC
Date First Approved to Provide Medicare and Medicaid services
1980-11-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
2.27829
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
0.92500
Reported Licensed Staffing Hours per Resident per Day
0.92500
Reported Total Nurse Staffing Hours per Resident per Day
3.20329
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07500
Expected CNA Staffing Hours per Resident per Day
2.39752
Expected LPN Staffing Hours per Resident per Day
0.64092
Expected RN Staffing Hours per Resident per Day
0.98249
Expected Total Nurse Staffing Hours per Resident per Day
4.02093
Adjusted CNA Staffing Hours per Resident per Day
2.33167
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.70348
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21123
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-04-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
23
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
144
Cycle 2 Standard Health Survey Date
2014-03-13
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
72
Cycle 2 Total Health Score
216
Cycle 3 Total Number of Health Deficiencies
21
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
15
Cycle 3 Health Deficiency Score
112
Cycle 3 Standard Health Survey Date
2013-02-07
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
112
Total Weighted Health Survey Score
118.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
23
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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