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Gilman Healthcare Center - Gilman Nursing Home

General Information

UPDATE
Federal Provider Number
145347
Provider Name
GILMAN HEALTHCARE CENTER
Provider Address
1390 SOUTH CRESCENT STREET, BOX 307
GILMAN, IL 60938
Provider Phone Number
(815) 265-7208
Provider SSA County
460
Provider County Name
Iroquois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GILMAN HEALTHCARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1978-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.01600
Reported LPN Staffing Hours per Resident per Day
0.81467
Reported RN Staffing Hours per Resident per Day
0.53267
Reported Licensed Staffing Hours per Resident per Day
1.34733
Reported Total Nurse Staffing Hours per Resident per Day
3.36334
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09733
Expected CNA Staffing Hours per Resident per Day
2.32657
Expected LPN Staffing Hours per Resident per Day
0.67372
Expected RN Staffing Hours per Resident per Day
1.05860
Expected Total Nurse Staffing Hours per Resident per Day
4.05888
Adjusted CNA Staffing Hours per Resident per Day
2.12616
Adjusted LPN Staffing Hours per Resident per Day
1.00365
Adjusted RN Staffing Hours per Resident per Day
0.37598
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34015
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-07-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-05-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
26
Cycle 3 Total Health Score
78
Total Weighted Health Survey Score
77.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
Number of Fines
2
Total Amount of Fines in Dollars
18364
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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