Pontiac Healthcare And Rehab - Pontiac Nursing Home
General Information
UPDATEFederal Provider Number
146010
Provider Name
PONTIAC HEALTHCARE AND REHAB
Provider Address
300 WEST LOWELL
PONTIAC, IL 61764
PONTIAC, IL 61764
Provider Phone Number
(815) 842-1181
Provider SSA County
610
Provider County Name
Livingston
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
97
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ASTA CARE CENTER OF PONTIAC, LLC
Date First Approved to Provide Medicare and Medicaid services
2001-11-15
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
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
1.80247
Reported LPN Staffing Hours per Resident per Day
0.52099
Reported RN Staffing Hours per Resident per Day
0.58519
Reported Licensed Staffing Hours per Resident per Day
1.10617
Reported Total Nurse Staffing Hours per Resident per Day
2.90865
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04383
Expected CNA Staffing Hours per Resident per Day
2.50753
Expected LPN Staffing Hours per Resident per Day
0.62982
Expected RN Staffing Hours per Resident per Day
1.06938
Expected Total Nurse Staffing Hours per Resident per Day
4.20673
Adjusted CNA Staffing Hours per Resident per Day
1.76378
Adjusted LPN Staffing Hours per Resident per Day
0.68658
Adjusted RN Staffing Hours per Resident per Day
0.40889
Adjusted Total Nurse Staffing Hours per Resident per Day
2.78708
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-08-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
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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