Willows Health Center - Rockford Nursing Home
General Information
UPDATEFederal Provider Number
146101
Provider Name
WILLOWS HEALTH CENTER
Provider Address
4054 ALBRIGHT LANE
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Provider Phone Number
(815) 316-1500
Provider SSA County
991
Provider County Name
Winnebago
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
42
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WILLOWS HEALTH CENTER
Date First Approved to Provide Medicare and Medicaid services
2006-04-01
Continuing Care Retirement Community
Y
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
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
3.97500
Reported LPN Staffing Hours per Resident per Day
0.67622
Reported RN Staffing Hours per Resident per Day
1.01524
Reported Licensed Staffing Hours per Resident per Day
1.69146
Reported Total Nurse Staffing Hours per Resident per Day
5.66646
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13963
Expected CNA Staffing Hours per Resident per Day
2.48106
Expected LPN Staffing Hours per Resident per Day
0.50747
Expected RN Staffing Hours per Resident per Day
0.77572
Expected Total Nurse Staffing Hours per Resident per Day
3.76426
Adjusted CNA Staffing Hours per Resident per Day
3.93116
Adjusted LPN Staffing Hours per Resident per Day
1.10600
Adjusted RN Staffing Hours per Resident per Day
0.97791
Adjusted Total Nurse Staffing Hours per Resident per Day
6.06785
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
8
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-10-30
Cycle 2 Number of Health Revisits
0
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
2012-11-15
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
4.00000
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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