Marigold Rehabilitation Hcc - Galesburg Nursing Home

General Information

UPDATE
Federal Provider Number
145446
Provider Name
MARIGOLD REHABILITATION HCC
Provider Address
275 EAST CARL SANDBURG DRIVE
GALESBURG, IL 61401
Provider Phone Number
(309) 344-1151
Provider SSA County
560
Provider County Name
Knox
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
172
Number of Residents in Certified Beds
139
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH NETWORK LLC
Date First Approved to Provide Medicare and Medicaid services
1982-04-02
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
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
1.86475
Reported LPN Staffing Hours per Resident per Day
0.79065
Reported RN Staffing Hours per Resident per Day
0.61547
Reported Licensed Staffing Hours per Resident per Day
1.40612
Reported Total Nurse Staffing Hours per Resident per Day
3.27087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01223
Expected CNA Staffing Hours per Resident per Day
2.39896
Expected LPN Staffing Hours per Resident per Day
0.54051
Expected RN Staffing Hours per Resident per Day
0.79576
Expected Total Nurse Staffing Hours per Resident per Day
3.73524
Adjusted CNA Staffing Hours per Resident per Day
1.90730
Adjusted LPN Staffing Hours per Resident per Day
1.21411
Adjusted RN Staffing Hours per Resident per Day
0.57791
Adjusted Total Nurse Staffing Hours per Resident per Day
3.52978
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
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
16
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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