Newman Rehab & Health Care Ctr - Newman Nursing Home

General Information

UPDATE
Federal Provider Number
145631
Provider Name
NEWMAN REHAB & HEALTH CARE CTR
Provider Address
418 SOUTH MEMORIAL PARK DRIVE
NEWMAN, IL 61942
Provider Phone Number
2178372421
Provider SSA County
190
Provider County Name
Douglas
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
39
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH & WELLNESS LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-13
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25128
Reported LPN Staffing Hours per Resident per Day
0.68205
Reported RN Staffing Hours per Resident per Day
0.57692
Reported Licensed Staffing Hours per Resident per Day
1.25897
Reported Total Nurse Staffing Hours per Resident per Day
3.51025
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01410
Expected CNA Staffing Hours per Resident per Day
2.42989
Expected LPN Staffing Hours per Resident per Day
0.64605
Expected RN Staffing Hours per Resident per Day
0.95830
Expected Total Nurse Staffing Hours per Resident per Day
4.03424
Adjusted CNA Staffing Hours per Resident per Day
2.27334
Adjusted LPN Staffing Hours per Resident per Day
0.87625
Adjusted RN Staffing Hours per Resident per Day
0.44983
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50735
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-07-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-08-28
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
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
5816
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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