Franklin Grove Living And Rehab - Franklin Grove Nursing Home
General Information
UPDATEFederal Provider Number
145200
Provider Name
FRANKLIN GROVE LIVING AND REHAB
Provider Address
502 NORTH STATE STREET
FRANKLIN GROVE, IL 61031
FRANKLIN GROVE, IL 61031
Provider Phone Number
(815) 456-2374
Provider SSA County
600
Provider County Name
Lee
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
97
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANKLIN GROVE LIVING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1975-12-01
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
2
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.53351
Reported LPN Staffing Hours per Resident per Day
0.73454
Reported RN Staffing Hours per Resident per Day
0.30979
Reported Licensed Staffing Hours per Resident per Day
1.04433
Reported Total Nurse Staffing Hours per Resident per Day
3.57784
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11804
Expected CNA Staffing Hours per Resident per Day
2.44050
Expected LPN Staffing Hours per Resident per Day
0.59596
Expected RN Staffing Hours per Resident per Day
0.92130
Expected Total Nurse Staffing Hours per Resident per Day
3.95777
Adjusted CNA Staffing Hours per Resident per Day
2.54721
Adjusted LPN Staffing Hours per Resident per Day
1.02300
Adjusted RN Staffing Hours per Resident per Day
0.25125
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64395
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-30
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
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-02-20
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
32.66700
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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