Manor Court Of Freeport - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
146102
Provider Name
MANOR COURT OF FREEPORT
Provider Address
2170 WEST NAVAJO DRIVE
FREEPORT, IL 61032
FREEPORT, IL 61032
Provider Phone Number
(815) 233-2400
Provider SSA County
970
Provider County Name
Stephenson
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
96
Number of Residents in Certified Beds
91
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RESIDENTIAL ALTERNATIVES OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
2006-04-04
Continuing Care Retirement Community
Y
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
3
Health Inspection Rating Footnote
QM Rating
5
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
2.92747
Reported LPN Staffing Hours per Resident per Day
0.48791
Reported RN Staffing Hours per Resident per Day
0.79341
Reported Licensed Staffing Hours per Resident per Day
1.28132
Reported Total Nurse Staffing Hours per Resident per Day
4.20879
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10769
Expected CNA Staffing Hours per Resident per Day
2.51187
Expected LPN Staffing Hours per Resident per Day
0.57694
Expected RN Staffing Hours per Resident per Day
0.87414
Expected Total Nurse Staffing Hours per Resident per Day
3.96295
Adjusted CNA Staffing Hours per Resident per Day
2.85967
Adjusted LPN Staffing Hours per Resident per Day
0.70192
Adjusted RN Staffing Hours per Resident per Day
0.67820
Adjusted Total Nurse Staffing Hours per Resident per Day
4.28096
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
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
12
Cycle 2 Standard Health Survey Date
2013-08-30
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
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
38.66700
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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