Rock River Health Care - Rockford Nursing Home

General Information

UPDATE
Federal Provider Number
145818
Provider Name
ROCK RIVER HEALTH CARE
Provider Address
707 WEST RIVERSIDE BOULEVARD
ROCKFORD, IL 61103
Provider Phone Number
(815) 877-5752
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ROCK RIVER HEALTH CARE LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-01
Continuing Care Retirement Community
N
Special Focus Facility
Y
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
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.55924
Reported LPN Staffing Hours per Resident per Day
0.59402
Reported RN Staffing Hours per Resident per Day
0.65272
Reported Licensed Staffing Hours per Resident per Day
1.24674
Reported Total Nurse Staffing Hours per Resident per Day
2.80598
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01250
Expected CNA Staffing Hours per Resident per Day
2.35730
Expected LPN Staffing Hours per Resident per Day
0.64023
Expected RN Staffing Hours per Resident per Day
0.95600
Expected Total Nurse Staffing Hours per Resident per Day
3.95354
Adjusted CNA Staffing Hours per Resident per Day
1.62301
Adjusted LPN Staffing Hours per Resident per Day
0.77009
Adjusted RN Staffing Hours per Resident per Day
0.51016
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86089
Cycle 1 Total Number of Health Deficiencies
33
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
374
Cycle 1 Standard Survey Health Date
2014-09-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
374
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
19
Cycle 2 Health Deficiency Score
599
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
599
Cycle 3 Total Number of Health Deficiencies
19
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
136
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
136
Total Weighted Health Survey Score
409.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
21
Number of Fines
2
Total Amount of Fines in Dollars
188999
Number of Payment Denials
2
Total Number of Penalties
4
Location
Processing Date
2015-06-01
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