Farmer City Rehab & Healthcare - Farmer City Nursing Home
General Information
UPDATEFederal Provider Number
146104
Provider Name
FARMER CITY REHAB & HEALTHCARE
Provider Address
404 BROOKVIEW DRIVE
FARMER CITY, IL 61842
FARMER CITY, IL 61842
Provider Phone Number
(309) 928-2118
Provider SSA County
180
Provider County Name
De Witt
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
43
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH CARE - FARMER CITY, LLC
Date First Approved to Provide Medicare and Medicaid services
2006-08-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
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
1.61279
Reported LPN Staffing Hours per Resident per Day
0.49186
Reported RN Staffing Hours per Resident per Day
0.59419
Reported Licensed Staffing Hours per Resident per Day
1.08605
Reported Total Nurse Staffing Hours per Resident per Day
2.69884
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02674
Expected CNA Staffing Hours per Resident per Day
2.38644
Expected LPN Staffing Hours per Resident per Day
0.62257
Expected RN Staffing Hours per Resident per Day
0.96728
Expected Total Nurse Staffing Hours per Resident per Day
3.97629
Adjusted CNA Staffing Hours per Resident per Day
1.65824
Adjusted LPN Staffing Hours per Resident per Day
0.65574
Adjusted RN Staffing Hours per Resident per Day
0.45900
Adjusted Total Nurse Staffing Hours per Resident per Day
2.73590
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-12-31
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
4
Cycle 3 Standard Health Survey Date
2013-01-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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