Rock Island Nursing & Rehab Center - Rock Island Nursing Home
General Information
UPDATEFederal Provider Number
145950
Provider Name
ROCK ISLAND NURSING & REHAB CENTER
Provider Address
2545 24TH STREET
ROCK ISLAND, IL 61201
ROCK ISLAND, IL 61201
Provider Phone Number
(309) 788-0458
Provider SSA County
890
Provider County Name
Rock Island
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
177
Number of Residents in Certified Beds
114
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROCK ISLAND NURSING AND REHAB CENTER,LLC
Date First Approved to Provide Medicare and Medicaid services
1997-06-19
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
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
2.05000
Reported LPN Staffing Hours per Resident per Day
0.82412
Reported RN Staffing Hours per Resident per Day
0.44912
Reported Licensed Staffing Hours per Resident per Day
1.27325
Reported Total Nurse Staffing Hours per Resident per Day
3.32324
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01886
Expected CNA Staffing Hours per Resident per Day
2.27811
Expected LPN Staffing Hours per Resident per Day
0.71407
Expected RN Staffing Hours per Resident per Day
1.04033
Expected Total Nurse Staffing Hours per Resident per Day
4.03251
Adjusted CNA Staffing Hours per Resident per Day
2.20801
Adjusted LPN Staffing Hours per Resident per Day
0.95792
Adjusted RN Staffing Hours per Resident per Day
0.32257
Adjusted Total Nurse Staffing Hours per Resident per Day
3.32191
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
104
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
104
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
66.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
15
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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