St Anthony's Nrsg & Rehab Center - Rock Island Nursing Home
General Information
UPDATEFederal Provider Number
145387
Provider Name
ST ANTHONY'S NRSG & REHAB CENTER
Provider Address
767 30TH STREET
ROCK ISLAND, IL 61201
ROCK ISLAND, IL 61201
Provider Phone Number
(309) 788-7631
Provider SSA County
890
Provider County Name
Rock Island
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
130
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST ANTHONY'S NURSING & REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1979-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
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
1.24103
Reported LPN Staffing Hours per Resident per Day
0.50812
Reported RN Staffing Hours per Resident per Day
0.47650
Reported Licensed Staffing Hours per Resident per Day
0.98462
Reported Total Nurse Staffing Hours per Resident per Day
2.22565
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04872
Expected CNA Staffing Hours per Resident per Day
2.35187
Expected LPN Staffing Hours per Resident per Day
0.60058
Expected RN Staffing Hours per Resident per Day
1.01006
Expected Total Nurse Staffing Hours per Resident per Day
3.96251
Adjusted CNA Staffing Hours per Resident per Day
1.29476
Adjusted LPN Staffing Hours per Resident per Day
0.70222
Adjusted RN Staffing Hours per Resident per Day
0.35249
Adjusted Total Nurse Staffing Hours per Resident per Day
2.26406
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-10-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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