Presence Cor Mariae Center - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
145972
Provider Name
PRESENCE COR MARIAE CENTER
Provider Address
3330 MARIA LINDEN DRIVE
ROCKFORD, IL 61114
ROCKFORD, IL 61114
Provider Phone Number
(815) 877-7416
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
73
Number of Residents in Certified Beds
64
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESENCE LIFE CONNECTIONS
Date First Approved to Provide Medicare and Medicaid services
1999-02-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
3.94375
Reported LPN Staffing Hours per Resident per Day
1.40391
Reported RN Staffing Hours per Resident per Day
1.46328
Reported Licensed Staffing Hours per Resident per Day
2.86719
Reported Total Nurse Staffing Hours per Resident per Day
6.81094
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18047
Expected CNA Staffing Hours per Resident per Day
2.37250
Expected LPN Staffing Hours per Resident per Day
0.66063
Expected RN Staffing Hours per Resident per Day
1.25270
Expected Total Nurse Staffing Hours per Resident per Day
4.28583
Adjusted CNA Staffing Hours per Resident per Day
4.07873
Adjusted LPN Staffing Hours per Resident per Day
1.76385
Adjusted RN Staffing Hours per Resident per Day
0.87281
Adjusted Total Nurse Staffing Hours per Resident per Day
6.40582
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-04-03
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
28.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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