Freeport Rehab & Health Care Center - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
145234
Provider Name
FREEPORT REHAB & HEALTH CARE CENTER
Provider Address
900 SOUTH KIWANIS DRIVE
FREEPORT, IL 61032
FREEPORT, IL 61032
Provider Phone Number
(815) 235-6196
Provider SSA County
970
Provider County Name
Stephenson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
109
Number of Residents in Certified Beds
59
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
1972-01-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.41017
Reported LPN Staffing Hours per Resident per Day
0.38814
Reported RN Staffing Hours per Resident per Day
0.82966
Reported Licensed Staffing Hours per Resident per Day
1.21780
Reported Total Nurse Staffing Hours per Resident per Day
3.62797
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03644
Expected CNA Staffing Hours per Resident per Day
2.40272
Expected LPN Staffing Hours per Resident per Day
0.61403
Expected RN Staffing Hours per Resident per Day
1.04489
Expected Total Nurse Staffing Hours per Resident per Day
4.06163
Adjusted CNA Staffing Hours per Resident per Day
2.46131
Adjusted LPN Staffing Hours per Resident per Day
0.52466
Adjusted RN Staffing Hours per Resident per Day
0.59329
Adjusted Total Nurse Staffing Hours per Resident per Day
3.60052
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2014-11-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
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
2013-12-05
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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Manor Court Of Freeport
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