Stephenson Nursing Center - Freeport Nursing Home
General Information
UPDATEFederal Provider Number
145895
Provider Name
STEPHENSON NURSING CENTER
Provider Address
2946 SOUTH WALNUT ROAD
FREEPORT, IL 61032
FREEPORT, IL 61032
Provider Phone Number
(815) 235-6173
Provider SSA County
970
Provider County Name
Stephenson
Provider Website
Provider Description
Ownership Type
Government - County
Number of Certified Beds
148
Number of Residents in Certified Beds
135
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTY OF STEPHENSON
Date First Approved to Provide Medicare and Medicaid services
1996-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
2.09074
Reported LPN Staffing Hours per Resident per Day
0.48630
Reported RN Staffing Hours per Resident per Day
0.56370
Reported Licensed Staffing Hours per Resident per Day
1.05000
Reported Total Nurse Staffing Hours per Resident per Day
3.14074
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00519
Expected CNA Staffing Hours per Resident per Day
2.28383
Expected LPN Staffing Hours per Resident per Day
0.53177
Expected RN Staffing Hours per Resident per Day
0.74571
Expected Total Nurse Staffing Hours per Resident per Day
3.56131
Adjusted CNA Staffing Hours per Resident per Day
2.24625
Adjusted LPN Staffing Hours per Resident per Day
0.75903
Adjusted RN Staffing Hours per Resident per Day
0.56483
Adjusted Total Nurse Staffing Hours per Resident per Day
3.55488
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-01-20
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-12-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-02-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
4
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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