Rock Falls Rehab & Hlth Care C - Rock Falls Nursing Home
General Information
UPDATEFederal Provider Number
146157
Provider Name
ROCK FALLS REHAB & HLTH CARE C
Provider Address
430 MARTIN ROAD
ROCK FALLS, IL 61071
ROCK FALLS, IL 61071
Provider Phone Number
(815) 626-4575
Provider SSA County
988
Provider County Name
Whiteside
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
55
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH & WELLNESS LLC
Date First Approved to Provide Medicare and Medicaid services
2012-12-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.90270
Reported LPN Staffing Hours per Resident per Day
0.55946
Reported RN Staffing Hours per Resident per Day
0.35946
Reported Licensed Staffing Hours per Resident per Day
0.91892
Reported Total Nurse Staffing Hours per Resident per Day
2.82162
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01351
Expected CNA Staffing Hours per Resident per Day
2.31553
Expected LPN Staffing Hours per Resident per Day
0.54873
Expected RN Staffing Hours per Resident per Day
0.79299
Expected Total Nurse Staffing Hours per Resident per Day
3.65725
Adjusted CNA Staffing Hours per Resident per Day
2.01624
Adjusted LPN Staffing Hours per Resident per Day
0.84624
Adjusted RN Staffing Hours per Resident per Day
0.33870
Adjusted Total Nurse Staffing Hours per Resident per Day
3.10990
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-09-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-12-04
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
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
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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