Watseka Rehab & Hlth Care Ctr - Watseka Nursing Home
General Information
UPDATEFederal Provider Number
145389
Provider Name
WATSEKA REHAB & HLTH CARE CTR
Provider Address
715 EAST RAYMOND ROAD
WATSEKA, IL 60970
WATSEKA, IL 60970
Provider Phone Number
(815) 432-5476
Provider SSA County
460
Provider County Name
Iroquois
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
123
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PETERSEN HEALTH CARE II INC
Date First Approved to Provide Medicare and Medicaid services
1979-10-30
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
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
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
2.36124
Reported LPN Staffing Hours per Resident per Day
0.89607
Reported RN Staffing Hours per Resident per Day
0.57865
Reported Licensed Staffing Hours per Resident per Day
1.47472
Reported Total Nurse Staffing Hours per Resident per Day
3.83596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
2.14312
Expected LPN Staffing Hours per Resident per Day
0.56347
Expected RN Staffing Hours per Resident per Day
0.85703
Expected Total Nurse Staffing Hours per Resident per Day
3.56362
Adjusted CNA Staffing Hours per Resident per Day
2.70343
Adjusted LPN Staffing Hours per Resident per Day
1.31994
Adjusted RN Staffing Hours per Resident per Day
0.50449
Adjusted Total Nurse Staffing Hours per Resident per Day
4.33895
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
260
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
260
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
156.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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