River Bluff Nursing Home - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
145771
Provider Name
RIVER BLUFF NURSING HOME
Provider Address
4401 NORTH MAIN STREET
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Provider Phone Number
(815) 921-9200
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
304
Number of Residents in Certified Beds
217
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF WINNEBAGO
Date First Approved to Provide Medicare and Medicaid services
1993-04-08
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
3
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
2.78779
Reported LPN Staffing Hours per Resident per Day
0.90300
Reported RN Staffing Hours per Resident per Day
0.59401
Reported Licensed Staffing Hours per Resident per Day
1.49700
Reported Total Nurse Staffing Hours per Resident per Day
4.28480
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03894
Expected CNA Staffing Hours per Resident per Day
2.30734
Expected LPN Staffing Hours per Resident per Day
0.58885
Expected RN Staffing Hours per Resident per Day
0.86025
Expected Total Nurse Staffing Hours per Resident per Day
3.75643
Adjusted CNA Staffing Hours per Resident per Day
2.96463
Adjusted LPN Staffing Hours per Resident per Day
1.27280
Adjusted RN Staffing Hours per Resident per Day
0.51595
Adjusted Total Nurse Staffing Hours per Resident per Day
4.59787
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-11
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
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2014-04-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
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
40
Cycle 3 Standard Health Survey Date
2013-05-03
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
20
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
44.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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