Nursing Home

FONDULAC REHABILITATION & HCC

Overall Rating

Address

901 Illini Drive

East Peoria, IL 61611

Contact

3096946446

Certification Date

1973-12-26

Details

CMS Certification Number

145266

Ownership Type

For profit - Corporation

Number of Certified Beds

98

Average Number of Residents per Day

61.3

Provider Type

Medicare and Medicaid

Legal Business Name

PETERSEN HEALTH OPERATIONS LLC

Affiliated Entity Name

PETERSEN HEALTH CARE

Affiliated Entity ID

399

Ratings

Health Inspection Rating

1

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

2.16229

Reported LPN Staffing Hours per Resident per Day

0.77722

Reported RN Staffing Hours per Resident per Day

0.15503

Reported Total Nurse Staffing Hours per Resident per Day

3.09454

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.46388

Registered Nurse Hours per Resident per Day on the Weekend

0.04232

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00671

Quality Measures

Long-Stay Quality Measure Rating

3

Short-Stay Quality Measure Rating

1

Inspections

Total Weighted Health Survey Score

317.667

Number of Facility Reported Incidents

4

Number of Substantiated Complaints

21

Number of Citations from Infection Control Inspections

2

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-08-04

Total Number of Health Deficiencies

22

Number of Standard Health Deficiencies

19

Number of Complaint Health Deficiencies

4

Health Deficiency Score

192

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

192

Rating Cycle 2

Standard Health Survey Date

2022-06-15

Total Number of Health Deficiencies

19

Number of Standard Health Deficiencies

11

Number of Complaint Health Deficiencies

7

Health Deficiency Score

430

Number of Health Revisits

2

Health Revisit Score

215

Total Health Score

645

Rating Cycle 3

Standard Health Survey Date

2021-03-26

Total Number of Health Deficiencies

7

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

1

Health Deficiency Score

40

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

40

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

109686.00

Number of Payment Denials

1

Total Number of Penalties

3