Illinois Nursing Homes >> Dekalb Nursing Homes >> Pine Acres Rehab & Living Ctr

Pine Acres Rehab & Living Ctr - Dekalb Nursing Home

General Information

UPDATE
Federal Provider Number
145261
Provider Name
PINE ACRES REHAB & LIVING CTR
Provider Address
1212 SOUTH SECOND STREET
DEKALB, IL 60115
Provider Phone Number
(815) 758-8151
Provider SSA County
170
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
119
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINE ACRES REHAB & LIVING CTR
Date First Approved to Provide Medicare and Medicaid services
1974-02-07
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.53889
Reported LPN Staffing Hours per Resident per Day
0.36212
Reported RN Staffing Hours per Resident per Day
0.97475
Reported Licensed Staffing Hours per Resident per Day
1.33687
Reported Total Nurse Staffing Hours per Resident per Day
3.87576
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16717
Expected CNA Staffing Hours per Resident per Day
2.66979
Expected LPN Staffing Hours per Resident per Day
0.57584
Expected RN Staffing Hours per Resident per Day
0.87356
Expected Total Nurse Staffing Hours per Resident per Day
4.11919
Adjusted CNA Staffing Hours per Resident per Day
2.33340
Adjusted LPN Staffing Hours per Resident per Day
0.52195
Adjusted RN Staffing Hours per Resident per Day
0.83375
Adjusted Total Nurse Staffing Hours per Resident per Day
3.79269
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
32
Cycle 1 Standard Survey Health Date
2014-07-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-08-20
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
56
Cycle 2 Total Health Score
168
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
76.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
1
Total Amount of Fines in Dollars
3738
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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