Winning Wheels - Prophetstown Nursing Home
General Information
UPDATEFederal Provider Number
145556
Provider Name
WINNING WHEELS
Provider Address
701 EAST 3RD STREET
PROPHETSTOWN, IL 61277
PROPHETSTOWN, IL 61277
Provider Phone Number
(815) 537-5168
Provider SSA County
988
Provider County Name
Whiteside
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WINNING WHEELS INC
Date First Approved to Provide Medicare and Medicaid services
1986-06-07
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
3
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
2.74375
Reported LPN Staffing Hours per Resident per Day
0.55313
Reported RN Staffing Hours per Resident per Day
0.66625
Reported Licensed Staffing Hours per Resident per Day
1.21938
Reported Total Nurse Staffing Hours per Resident per Day
3.96313
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20563
Expected CNA Staffing Hours per Resident per Day
2.59969
Expected LPN Staffing Hours per Resident per Day
0.73936
Expected RN Staffing Hours per Resident per Day
1.21187
Expected Total Nurse Staffing Hours per Resident per Day
4.55091
Adjusted CNA Staffing Hours per Resident per Day
2.58967
Adjusted LPN Staffing Hours per Resident per Day
0.62094
Adjusted RN Staffing Hours per Resident per Day
0.41079
Adjusted Total Nurse Staffing Hours per Resident per Day
3.51028
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
72
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
72
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-08-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
45.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
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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