Rosiclare Rehab & Hcc
55 Ferrell Road, Po Box 220, Rosiclare, IL 62982


Rosiclare Rehab & Hcc is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 145759. The address is 55 Ferrell Road, Po Box 220, Rosiclare, IL 62982. The zip code is 62982. The phone number is 6182856613.


Rosiclare Rehab & Hcc · 55 Ferrell Road, Po Box 220, Rosiclare, IL 62982

Federal Provider Number 145759
Provider Name ROSICLARE REHAB & HCC
Address 55 FERRELL ROAD, PO BOX 220
ROSICLARE, IL 62982
Phone Number 6182856613
SSA County Code 421
County Name Hardin
Ownership Type For profit - Corporation
Certified Beds 62
Certified Beds Residents 51
Provider Type Medicare and Medicaid
Resides in Hospital false
Legal Business Name PETERSEN HEALTH BUSINESS LLC
Date First Approved to Provide Medicare Medicaid Services 09/01/1993
Continuing Care Retirement Community false
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating 2
RN Staffing Rating 3
Reported CNA Staffing Hours per Resident per Day 1.81863
Reported LPN Staffing Hours per Resident per Day 0.49804
Reported RN Staffing Hours per Resident per Day 0.71961
Reported Licensed Staffing Hours per Resident per Day 1.21765
Reported Total Nurse Staffing Hours per Resident per Day 3.03628
Reported Physical Therapist Staffing Hours per Resident Per Day 0.01373
Expected CNA Staffing Hours per Resident per Day 2.51583
Expected LPN Staffing Hours per Resident per Day 0.66441
Expected RN Staffing Hours per Resident per Day 1.07568
Expected Total Nurse Staffing Hours per Resident per Day 4.25592
Adjusted CNA Staffing Hours per Resident per Day 1.77372
Adjusted LPN Staffing Hours per Resident per Day 0.62217
Adjusted RN Staffing Hours per Resident per Day 0.49986
Adjusted Total Nurse Staffing Hours per Resident per Day 2.87575
Cycle 1 Total Number of Health Deficiencies 4
Cycle 1 Number of Standard Health Deficiencies 4
Cycle 1 Health Deficiency Score 12
Cycle 1 Standard Survey Health Date 01/27/2017
Cycle 1 Number of Health Revisits 1
Cycle 1 Total Health Score 12
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 4
Cycle 2 Standard Health Survey Date 12/18/2015
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 4
Cycle 3 Total Number of Health Deficiencies 2
Cycle 3 Number of Standard Health Deficiencies 2
Cycle 3 Health Deficiency Score 4
Cycle 3 Standard Health Survey Date 11/13/2014
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 4
Total Weighted Health Survey Score 8
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Rosiclare Rehab & Hcc

Owner Name Role Association Date
LITTLE, SARAH (Individual) MANAGING EMPLOYEE since 03/27/2015
PETERSEN, MARK (Individual) 5% OR GREATER DIRECT OWNERSHIP INTEREST
99%
since 02/09/2015
PETERSEN, MARK (Individual) OFFICER since 02/09/2015
PETERSEN, MARK (Individual) OPERATIONAL/MANAGERIAL CONTROL since 02/09/2015

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