Illinois Nursing Homes >> Kewanee Nursing Homes >> Kewanee Care Home

Kewanee Care Home - Kewanee Nursing Home

General Information

UPDATE
Federal Provider Number
145968
Provider Name
KEWANEE CARE HOME
Provider Address
144 JUNIOR AVENUE
KEWANEE, IL 61443
Provider Phone Number
(309) 853-4429
Provider SSA County
450
Provider County Name
Henry
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
84
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH JUNCTION LLC
Date First Approved to Provide Medicare and Medicaid services
1998-06-05
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
2
QM Rating Footnote
Staffing Rating
3
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
2.46575
Reported LPN Staffing Hours per Resident per Day
1.68288
Reported RN Staffing Hours per Resident per Day
0.31918
Reported Licensed Staffing Hours per Resident per Day
2.00205
Reported Total Nurse Staffing Hours per Resident per Day
4.46781
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.44905
Expected LPN Staffing Hours per Resident per Day
0.55694
Expected RN Staffing Hours per Resident per Day
0.89106
Expected Total Nurse Staffing Hours per Resident per Day
3.89706
Adjusted CNA Staffing Hours per Resident per Day
2.47043
Adjusted LPN Staffing Hours per Resident per Day
2.50797
Adjusted RN Staffing Hours per Resident per Day
0.26765
Adjusted Total Nurse Staffing Hours per Resident per Day
4.62125
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2015-04-16
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
11
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-06-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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