Park Place Of Belvidere
Park Place Of Belvidere Information
| Facility Name | Park Place Of Belvidere |
| Location | 1701 5th Avenue, Belvidere, IL 61008 |
| County (SSA Code) | Boone (30) |
| Phone Number | 815-547-5451 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 80 |
| Average Number of Residents | 54.8 |
| 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 |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | GARDENS OF BELVIDERE LLC |
| Ownership Type | For profit - Partnership |
| Date First Approved | 2004-11-04 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.66327 |
| Reported LPN Staffing Hours per Resident per Day | 0.1853 |
| Reported RN Staffing - Hours per Resident per Day | 0.7769 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.9622 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.62548 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.01444 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.16128 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.77838 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.40465 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.34431 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.50291 |
| Total Weighted Health Survey Score for three cycles | 81.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-13 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 24 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-09 |
| Rating cycle 2 - Health Deficiency Score | 24 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-07-18 |
| Rating cycle 3 - Health Deficiency Score | 128 |
| Rating cycle 3 - Total Health Inspection Score | 128 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 1 |
| Number of Substantiated Complaints | 1 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |