Beloit Health And Rehab Ctr - Beloit Nursing Home
General Information
UPDATEFederal Provider Number
525273
Provider Name
BELOIT HEALTH AND REHAB CTR
Provider Address
1905 W HART RD
BELOIT, WI 53511
BELOIT, WI 53511
Provider Phone Number
(608) 365-2554
Provider SSA County
520
Provider County Name
Rock
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
152
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BELOIT CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
1976-10-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
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
2.35726
Reported LPN Staffing Hours per Resident per Day
0.68376
Reported RN Staffing Hours per Resident per Day
0.76453
Reported Licensed Staffing Hours per Resident per Day
1.44829
Reported Total Nurse Staffing Hours per Resident per Day
3.80555
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09359
Expected CNA Staffing Hours per Resident per Day
2.55335
Expected LPN Staffing Hours per Resident per Day
0.66512
Expected RN Staffing Hours per Resident per Day
1.11732
Expected Total Nurse Staffing Hours per Resident per Day
4.33579
Adjusted CNA Staffing Hours per Resident per Day
2.26526
Adjusted LPN Staffing Hours per Resident per Day
0.85326
Adjusted RN Staffing Hours per Resident per Day
0.51128
Adjusted Total Nurse Staffing Hours per Resident per Day
3.53794
Cycle 1 Total Number of Health Deficiencies
37
Cycle 1 Number of Standard Health Deficiencies
25
Cycle 1 Number of Complaint Health Deficiencies
19
Cycle 1 Health Deficiency Score
465
Cycle 1 Standard Survey Health Date
2015-02-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
465
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
20
Cycle 2 Health Deficiency Score
192
Cycle 2 Standard Health Survey Date
2014-01-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
192
Cycle 3 Total Number of Health Deficiencies
29
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
22
Cycle 3 Health Deficiency Score
276
Cycle 3 Standard Health Survey Date
2012-11-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
138
Cycle 3 Total Health Score
414
Total Weighted Health Survey Score
365.50000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
25
Number of Fines
3
Total Amount of Fines in Dollars
140791
Number of Payment Denials
2
Total Number of Penalties
5
Location
Processing Date
2015-06-01
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