Resthave Home-whiteside County - Morrison Nursing Home
General Information
UPDATEFederal Provider Number
140000000000000000000000000000
Provider Name
RESTHAVE HOME-WHITESIDE COUNTY
Provider Address
408 MAPLE AVENUE
MORRISON, IL 61270
MORRISON, IL 61270
Provider Phone Number
(815) 772-4021
Provider SSA County
988
Provider County Name
Whiteside
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
49
Number of Residents in Certified Beds
45
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-03-31
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.76444
Reported LPN Staffing Hours per Resident per Day
0.95222
Reported RN Staffing Hours per Resident per Day
0.56444
Reported Licensed Staffing Hours per Resident per Day
1.51667
Reported Total Nurse Staffing Hours per Resident per Day
4.28110
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00111
Expected CNA Staffing Hours per Resident per Day
2.34150
Expected LPN Staffing Hours per Resident per Day
0.53825
Expected RN Staffing Hours per Resident per Day
0.73295
Expected Total Nurse Staffing Hours per Resident per Day
3.61269
Adjusted CNA Staffing Hours per Resident per Day
2.89691
Adjusted LPN Staffing Hours per Resident per Day
1.46836
Adjusted RN Staffing Hours per Resident per Day
0.57541
Adjusted Total Nurse Staffing Hours per Resident per Day
4.77668
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-04-03
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-05-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
25.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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