Dekalb County Rehab & Nursing - Dekalb Nursing Home
General Information
UPDATEFederal Provider Number
145547
Provider Name
DEKALB COUNTY REHAB & NURSING
Provider Address
2600 NORTH ANNIE GLIDDEN ROAD
DEKALB, IL 60115
DEKALB, IL 60115
Provider Phone Number
(815) 758-2477
Provider SSA County
170
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
190
Number of Residents in Certified Beds
174
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DEKALB COUNTY FINANCE OFFICE
Date First Approved to Provide Medicare and Medicaid services
1986-01-01
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
4
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.49943
Reported LPN Staffing Hours per Resident per Day
0.27069
Reported RN Staffing Hours per Resident per Day
1.00374
Reported Licensed Staffing Hours per Resident per Day
1.27443
Reported Total Nurse Staffing Hours per Resident per Day
3.77386
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08994
Expected CNA Staffing Hours per Resident per Day
2.57317
Expected LPN Staffing Hours per Resident per Day
0.60600
Expected RN Staffing Hours per Resident per Day
0.89535
Expected Total Nurse Staffing Hours per Resident per Day
4.07452
Adjusted CNA Staffing Hours per Resident per Day
2.38338
Adjusted LPN Staffing Hours per Resident per Day
0.37075
Adjusted RN Staffing Hours per Resident per Day
0.83765
Adjusted Total Nurse Staffing Hours per Resident per Day
3.73346
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-02-04
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
10.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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