Dixon Rehab & Hcc - Dixon Nursing Home
General Information
UPDATEFederal Provider Number
145906
Provider Name
DIXON REHAB & HCC
Provider Address
800 DIVISION STREET
DIXON, IL 61021
DIXON, IL 61021
Provider Phone Number
8152843393
Provider SSA County
600
Provider County Name
Lee
Ownership Type
For profit - Individual
Number of Certified Beds
97
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
DIXON MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.99878
Reported LPN Staffing Hours per Resident per Day
0.63232
Reported RN Staffing Hours per Resident per Day
0.50122
Reported Licensed Staffing Hours per Resident per Day
1.13354
Reported Total Nurse Staffing Hours per Resident per Day
3.13232
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09817
Expected CNA Staffing Hours per Resident per Day
2.45617
Expected LPN Staffing Hours per Resident per Day
0.56874
Expected RN Staffing Hours per Resident per Day
0.89253
Expected Total Nurse Staffing Hours per Resident per Day
3.91744
Adjusted CNA Staffing Hours per Resident per Day
1.99677
Adjusted LPN Staffing Hours per Resident per Day
0.92279
Adjusted RN Staffing Hours per Resident per Day
0.41961
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22304
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
181
Cycle 2 Standard Health Survey Date
2013-11-15
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
14
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
93.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
1
Total Amount of Fines in Dollars
34010
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
Nursiong Homes Nearby
Heritage Square
620 North Ottawa Avenue |
DIXON IL 61021 | 1.5 miles away
Franklin Grove Living And Rehab
502 North State Street |
FRANKLIN GROVE IL 61031 | 8.6 miles away
Aperion Care Amboy
15 West Wasson Road |
AMBOY IL 61310 | 10.3 miles away
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