Illini Restorative Care - Silvis Nursing Home
General Information
UPDATEFederal Provider Number
145703
Provider Name
ILLINI RESTORATIVE CARE
Provider Address
1455 HOSPITAL ROAD
SILVIS, IL 61282
SILVIS, IL 61282
Provider Phone Number
(309) 792-7614
Provider SSA County
890
Provider County Name
Rock Island
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
92
Number of Residents in Certified Beds
75
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GENESIS HEALTH SYSTEM
Date First Approved to Provide Medicare and Medicaid services
1991-09-03
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.56867
Reported LPN Staffing Hours per Resident per Day
0.57133
Reported RN Staffing Hours per Resident per Day
1.28000
Reported Licensed Staffing Hours per Resident per Day
1.85133
Reported Total Nurse Staffing Hours per Resident per Day
4.42000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13333
Expected CNA Staffing Hours per Resident per Day
2.62293
Expected LPN Staffing Hours per Resident per Day
0.60773
Expected RN Staffing Hours per Resident per Day
1.06269
Expected Total Nurse Staffing Hours per Resident per Day
4.29335
Adjusted CNA Staffing Hours per Resident per Day
2.40294
Adjusted LPN Staffing Hours per Resident per Day
0.78028
Adjusted RN Staffing Hours per Resident per Day
0.89999
Adjusted Total Nurse Staffing Hours per Resident per Day
4.14981
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-04-04
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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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