La Salle County Nursing Home - Ottawa Nursing Home
General Information
UPDATEFederal Provider Number
146116
Provider Name
LA SALLE COUNTY NURSING HOME
Provider Address
1380 NORTH 27TH ROAD
OTTAWA, IL 61350
OTTAWA, IL 61350
Provider Phone Number
(815) 433-0476
Provider SSA County
580
Provider County Name
La Salle
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
91
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LASALLE COUNTY BOARD OFFICE
Date First Approved to Provide Medicare and Medicaid services
2007-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.58934
Reported LPN Staffing Hours per Resident per Day
0.86967
Reported RN Staffing Hours per Resident per Day
0.73934
Reported Licensed Staffing Hours per Resident per Day
1.60902
Reported Total Nurse Staffing Hours per Resident per Day
4.19835
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09344
Expected CNA Staffing Hours per Resident per Day
2.43635
Expected LPN Staffing Hours per Resident per Day
0.59719
Expected RN Staffing Hours per Resident per Day
0.91483
Expected Total Nurse Staffing Hours per Resident per Day
3.94837
Adjusted CNA Staffing Hours per Resident per Day
2.60778
Adjusted LPN Staffing Hours per Resident per Day
1.20870
Adjusted RN Staffing Hours per Resident per Day
0.60386
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28610
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
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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