Presence St Joseph Center - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
145935
Provider Name
PRESENCE ST JOSEPH CENTER
Provider Address
659 EAST JEFFERSON STREET
FREEPORT, IL 61032
FREEPORT, IL 61032
Provider Phone Number
(815) 232-6181
Provider SSA County
970
Provider County Name
Stephenson
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
124
Number of Residents in Certified Beds
103
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
1997-03-14
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.12476
Reported LPN Staffing Hours per Resident per Day
0.78689
Reported RN Staffing Hours per Resident per Day
0.71796
Reported Licensed Staffing Hours per Resident per Day
1.50485
Reported Total Nurse Staffing Hours per Resident per Day
3.62961
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07913
Expected CNA Staffing Hours per Resident per Day
2.53991
Expected LPN Staffing Hours per Resident per Day
0.62845
Expected RN Staffing Hours per Resident per Day
1.02671
Expected Total Nurse Staffing Hours per Resident per Day
4.19508
Adjusted CNA Staffing Hours per Resident per Day
2.05264
Adjusted LPN Staffing Hours per Resident per Day
1.03925
Adjusted RN Staffing Hours per Resident per Day
0.52250
Adjusted Total Nurse Staffing Hours per Resident per Day
3.48756
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
72
Cycle 1 Standard Survey Health Date
2014-12-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
72
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
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
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
63.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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