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CISNE REHABILITATION & HEALTH CENTER
NPI 1225071442
Nursing Facility/Intermediate Care Facility in Cisne, IL

Active since June 14, 2006CLIA 14D0870126 · Waiver
5/5
Overall Rating
107 N WATKINS STREET, CISNE, IL 62823(618) 673-2177(618) 673-2309 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 19, 2022, Aug 22, 2020, Aug 17, 2018 (3 updates tracked since 2018).

About Cisne Rehabilitation & Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CISNE REHABILITATION & HEALTH CENTER (NPI 1225071442) is a healthcare organization registered as a nursing facility/intermediate care facility in Cisne, Illinois and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark B Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1225071442
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NamePETERSEN HEALTH OPERATIONS, LLC
Location Address107 N WATKINS STREETCisne, IL 62823
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Phone(618) 673-2177
Fax(618) 673-2309
Organization SubpartNo
Authorized OfficialMark B PetersenManager · (309) 691-8113
Enumeration DateJune 14, 2006
Last NPPES UpdateJanuary 19, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1225071442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
License✔ Licensed in IL · 0047423
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
107 N WATKINS STREET, Cisne, IL 62823
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Other Names 1

Doing Business AsCisne Rehabilitation & Health Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D0870126

Cisne Rehabilitation & Health Care Petersen Health Operations LLC · Cisne, IL
Active · expires Aug 31, 2026
CLIA Number14D0870126
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorTommy R. Porter
Laboratory Phone(618) 673-2177
Laboratory LocationCisne Rehabilitation & Health Care Petersen Health Operations LLC107 N Watkins Street, Cisne, IL 62823
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Cisne Rehabilitation & Health Center (CMS certification number 146131), from CMS Care Compare.

Cisne Rehabilitation & Health Center

Nursing home · Cisne, IL
5/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number146131
Certified Beds35 beds21 residents per day on average
Medicare & Medicaid Participant SinceAugust 12, 2008
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
57.33
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.32 · LPN 0.78 · RN 0.99
4.09 hrs per resident per day
Weekend Nurse Staffing
3.52 hrs per resident per day
Physical Therapist Staffing
0.01 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
26.1%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
1
Substantiated Complaints
6
Infection-Control Citations
1
Fines
3 totaling $50,605.00
Medicare Payment Denials
1
Total Penalties
4
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petersen Health Operations, LLC's NPI number?

The NPI number for Petersen Health Operations, LLC is 1225071442. It was assigned to this organization in the NPPES registry on June 14, 2006. The provider is doing business as Cisne Rehabilitation & Health Center.

Where is Petersen Health Operations, LLC located?

Petersen Health Operations, LLC is located at 107 N Watkins Street, Cisne, IL 62823. The listed phone number is (618) 673-2177.

What is Petersen Health Operations, LLC's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Does Petersen Health Operations, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0870126) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Petersen Health Operations, LLC a Medicare-certified nursing home?

Yes. Cisne Rehabilitation & Health Center is a Medicare-certified nursing home with 35 certified beds.

What quality rating does Petersen Health Operations, LLC have?

CMS rates Cisne Rehabilitation & Health Center 5 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Petersen Health Operations, LLC was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.