Hillsboro Rehab & Hcc - Hillsboro Nursing Home
General Information
UPDATEFederal Provider Number
145500
Provider Name
HILLSBORO REHAB & HCC
Provider Address
1300 EAST TREMONT STREET
HILLSBORO, IL 62049
HILLSBORO, IL 62049
Provider Phone Number
(217) 532-6191
Provider SSA County
760
Provider County Name
Montgomery
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
121
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HILLSBORO REHABILITATION AND HEALTH CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-11
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
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
1.88889
Reported LPN Staffing Hours per Resident per Day
0.87929
Reported RN Staffing Hours per Resident per Day
0.38586
Reported Licensed Staffing Hours per Resident per Day
1.26515
Reported Total Nurse Staffing Hours per Resident per Day
3.15404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01162
Expected CNA Staffing Hours per Resident per Day
2.43453
Expected LPN Staffing Hours per Resident per Day
0.62172
Expected RN Staffing Hours per Resident per Day
0.88151
Expected Total Nurse Staffing Hours per Resident per Day
3.93776
Adjusted CNA Staffing Hours per Resident per Day
1.90377
Adjusted LPN Staffing Hours per Resident per Day
1.17386
Adjusted RN Staffing Hours per Resident per Day
0.32707
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22864
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
96
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
96
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-07-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
77.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
14365
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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