Colonial Hlthcare & Rehab Ctr - Princeton Nursing Home
General Information
UPDATEFederal Provider Number
145437
Provider Name
COLONIAL HLTHCARE & REHAB CTR
Provider Address
515 BUREAU VALLEY PARKWAY
PRINCETON, IL 61356
PRINCETON, IL 61356
Provider Phone Number
(815) 875-3347
Provider SSA County
50
Provider County Name
Bureau
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COLONIAL HEALTHCARE AND REHABILITATION CENTRE LLC
Date First Approved to Provide Medicare and Medicaid services
1982-01-28
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
1.93071
Reported LPN Staffing Hours per Resident per Day
0.38357
Reported RN Staffing Hours per Resident per Day
0.77500
Reported Licensed Staffing Hours per Resident per Day
1.15857
Reported Total Nurse Staffing Hours per Resident per Day
3.08928
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02571
Expected CNA Staffing Hours per Resident per Day
2.53593
Expected LPN Staffing Hours per Resident per Day
0.64439
Expected RN Staffing Hours per Resident per Day
0.98381
Expected Total Nurse Staffing Hours per Resident per Day
4.16414
Adjusted CNA Staffing Hours per Resident per Day
1.86811
Adjusted LPN Staffing Hours per Resident per Day
0.49405
Adjusted RN Staffing Hours per Resident per Day
0.58861
Adjusted Total Nurse Staffing Hours per Resident per Day
2.99044
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-04-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
95
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
95
Total Weighted Health Survey Score
33.83300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
Number of Fines
1
Total Amount of Fines in Dollars
8000
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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