Pearl Pavilion
Pearl Pavilion Information
| Facility Name | Pearl Pavilion |
| Location | 900 South Kiwanis Drive, Freeport, IL 61032 |
| County (SSA Code) | Stephenson (970) |
| Phone Number | 815-235-6196 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 109 |
| Average Number of Residents | 58 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Special Focus Status | SFF Candidate |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | PEARL PAVILION LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1972-01-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.79809 |
| Reported LPN Staffing Hours per Resident per Day | 0.46635 |
| Reported RN Staffing - Hours per Resident per Day | 0.62221 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.08856 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.88664 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.07876 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.01662 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.81877 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.42504 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.26042 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.82269 |
| Total Weighted Health Survey Score for three cycles | 199.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-12 |
| Rating cycle 1 - Health Deficiency Score | 22 |
| Rating cycle 1 - Total Health Inspection Score | 176 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-10-31 |
| Rating cycle 2 - Health Deficiency Score | 176 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-15 |
| Rating cycle 3 - Health Deficiency Score | 36 |
| Rating cycle 3 - Total Health Inspection Score | 36 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 20 |
| Number of Substantiated Complaints | 20 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |