Rosiclare Rehab & Hcc - Rosiclare Nursing Home
General Information
UPDATEFederal Provider Number
145759
Provider Name
ROSICLARE REHAB & HCC
Provider Address
55 FERRELL ROAD, PO BOX 220
ROSICLARE, IL 62982
ROSICLARE, IL 62982
Provider Phone Number
6182856613
Provider SSA County
421
Provider County Name
Hardin
Ownership Type
For profit - Corporation
Number of Certified Beds
62
Number of Residents in Certified Beds
48
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1993-09-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.87500
Reported LPN Staffing Hours per Resident per Day
0.58229
Reported RN Staffing Hours per Resident per Day
0.80833
Reported Licensed Staffing Hours per Resident per Day
1.39063
Reported Total Nurse Staffing Hours per Resident per Day
3.26562
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01771
Expected CNA Staffing Hours per Resident per Day
2.33818
Expected LPN Staffing Hours per Resident per Day
0.61462
Expected RN Staffing Hours per Resident per Day
0.88863
Expected Total Nurse Staffing Hours per Resident per Day
3.84143
Adjusted CNA Staffing Hours per Resident per Day
1.96764
Adjusted LPN Staffing Hours per Resident per Day
0.78634
Adjusted RN Staffing Hours per Resident per Day
0.67968
Adjusted Total Nurse Staffing Hours per Resident per Day
3.42669
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
7.33300
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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