Florence Nursing Home - Marengo Nursing Home
General Information
UPDATEFederal Provider Number
146127
Provider Name
FLORENCE NURSING HOME
Provider Address
546 EAST GRANT HIGHWAY
MARENGO, IL 60152
MARENGO, IL 60152
Provider Phone Number
8155688322
Provider SSA County
640
Provider County Name
Mc Henry
Ownership Type
For profit - Corporation
Number of Certified Beds
56
Number of Residents in Certified Beds
44
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOW OF MARENGO, INC
Date First Approved to Provide Medicare and Medicaid services
2008-09-08
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.24318
Reported LPN Staffing Hours per Resident per Day
0.27955
Reported RN Staffing Hours per Resident per Day
0.61364
Reported Licensed Staffing Hours per Resident per Day
0.89318
Reported Total Nurse Staffing Hours per Resident per Day
3.13637
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02955
Expected CNA Staffing Hours per Resident per Day
2.38967
Expected LPN Staffing Hours per Resident per Day
0.50710
Expected RN Staffing Hours per Resident per Day
0.74601
Expected Total Nurse Staffing Hours per Resident per Day
3.64278
Adjusted CNA Staffing Hours per Resident per Day
2.30328
Adjusted LPN Staffing Hours per Resident per Day
0.45756
Adjusted RN Staffing Hours per Resident per Day
0.61462
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47054
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-03
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
10
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2013-04-11
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
1700
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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