East Bank Center, Llc - Loves Park Nursing Home
General Information
UPDATEFederal Provider Number
146069
Provider Name
EAST BANK CENTER, LLC
Provider Address
6131 PARK RIDGE ROAD
LOVES PARK, IL 61111
LOVES PARK, IL 61111
Provider Phone Number
(815) 633-6810
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
54
Number of Residents in Certified Beds
33
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EAST BANK CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2004-08-30
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.85606
Reported LPN Staffing Hours per Resident per Day
1.03939
Reported RN Staffing Hours per Resident per Day
2.70152
Reported Licensed Staffing Hours per Resident per Day
3.74091
Reported Total Nurse Staffing Hours per Resident per Day
6.59697
Reported Physical Therapist Staffing Hours per Resident Per Day
0.46515
Expected CNA Staffing Hours per Resident per Day
2.36053
Expected LPN Staffing Hours per Resident per Day
0.79740
Expected RN Staffing Hours per Resident per Day
1.64370
Expected Total Nurse Staffing Hours per Resident per Day
4.80162
Adjusted CNA Staffing Hours per Resident per Day
2.96879
Adjusted LPN Staffing Hours per Resident per Day
1.08189
Adjusted RN Staffing Hours per Resident per Day
1.22807
Adjusted Total Nurse Staffing Hours per Resident per Day
5.53807
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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