Piper City Rehab & Living Center - Piper City Nursing Home
General Information
UPDATEFederal Provider Number
145489
Provider Name
PIPER CITY REHAB & LIVING CENTER
Provider Address
600 MAPLE STREET
PIPER CITY, IL 60959
PIPER CITY, IL 60959
Provider Phone Number
(815) 686-2277
Provider SSA County
350
Provider County Name
Ford
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
60
Number of Residents in Certified Beds
49
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST HEALTH OPERATIONS, LLC
Date First Approved to Provide Medicare and Medicaid services
1984-09-10
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
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
2.18265
Reported LPN Staffing Hours per Resident per Day
0.66939
Reported RN Staffing Hours per Resident per Day
0.60102
Reported Licensed Staffing Hours per Resident per Day
1.27041
Reported Total Nurse Staffing Hours per Resident per Day
3.45306
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04082
Expected CNA Staffing Hours per Resident per Day
2.46010
Expected LPN Staffing Hours per Resident per Day
0.65996
Expected RN Staffing Hours per Resident per Day
0.89789
Expected Total Nurse Staffing Hours per Resident per Day
4.01796
Adjusted CNA Staffing Hours per Resident per Day
2.17697
Adjusted LPN Staffing Hours per Resident per Day
0.84186
Adjusted RN Staffing Hours per Resident per Day
0.50015
Adjusted Total Nurse Staffing Hours per Resident per Day
3.46418
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2012-09-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
Number of Fines
1
Total Amount of Fines in Dollars
6849
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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