Morrison Hsp (four Seasons) - Morrison Nursing Home
General Information
UPDATEFederal Provider Number
145274
Provider Name
MORRISON HSP (FOUR SEASONS)
Provider Address
303 NORTH JACKSON STREET
MORRISON, IL 61270
MORRISON, IL 61270
Provider Phone Number
8157724003
Provider SSA County
988
Provider County Name
Whiteside
Ownership Type
Government - Hospital district
Number of Certified Beds
38
Number of Residents in Certified Beds
16
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-08-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
3.14063
Reported LPN Staffing Hours per Resident per Day
0.89375
Reported RN Staffing Hours per Resident per Day
0.89063
Reported Licensed Staffing Hours per Resident per Day
1.78438
Reported Total Nurse Staffing Hours per Resident per Day
4.92501
Reported Physical Therapist Staffing Hours per Resident Per Day
0.67813
Expected CNA Staffing Hours per Resident per Day
2.59118
Expected LPN Staffing Hours per Resident per Day
0.54505
Expected RN Staffing Hours per Resident per Day
0.74447
Expected Total Nurse Staffing Hours per Resident per Day
3.88069
Adjusted CNA Staffing Hours per Resident per Day
2.97400
Adjusted LPN Staffing Hours per Resident per Day
1.36101
Adjusted RN Staffing Hours per Resident per Day
0.89390
Adjusted Total Nurse Staffing Hours per Resident per Day
5.11564
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
24
Cycle 2 Standard Health Survey Date
2014-06-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
4
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
8.66700
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
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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