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KEWANEE CARE HOME
NPI 1649236449
Skilled Nursing Facility in Kewanee, IL

Active since April 21, 2006CLIA 14D0431346 · Waiver
1/5
Overall Rating
144 JUNIOR AVE, KEWANEE, IL 61443(309) 853-4429(309) 853-9209 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2020, May 29, 2020, May 18, 2020 and 2 more (5 updates tracked since 2016).

About Kewanee Care Home NPPES

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

KEWANEE CARE HOME (NPI 1649236449) is a healthcare organization registered as a skilled nursing facility in Kewanee, Illinois and active in the NPI registry since April 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

NPI1649236449
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameKEWANEE HCO, LLC
Location Address144 JUNIOR AVEKewanee, IL 61443-2554
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862 · (309) 691-8113 · Fax (309) 691-8622
Phone(309) 853-4429
Fax(309) 853-9209
Organization SubpartNo
Authorized OfficialMark B. PetersenManager · (309) 689-5880
Enumeration DateApril 21, 2006
Last NPPES UpdateSeptember 14, 20205 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2020
✔ NPI 1649236449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in IL · 0026518
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
144 JUNIOR AVE, Kewanee, IL 61443
Open in Google Maps ↗

Other Names 1

Doing Business AsKewanee Care Home

Other Identifiers 1

Medicaid37-1068286001IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D0431346

Kewanee Care Home Petersen Health Care Inc · Kewanee, IL
Active · expires Aug 31, 2026
CLIA Number14D0431346
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorNicole M. Peed
Laboratory Phone(309) 853-4429
Laboratory LocationKewanee Care Home Petersen Health Care Inc144 Junior Avenue, Kewanee, IL 61443
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 Kewanee Care Home (CMS certification number 145968), from CMS Care Compare.

Kewanee Care Home

Nursing home · Kewanee, IL
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number145968
Certified Beds84 beds44 residents per day on average
Medicare & Medicaid Participant SinceJune 5, 1998
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
3/5
Long-Stay Quality
Quality of care delivered to long-term residents.
5/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
349.5
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 2.14 · LPN 0.76 · RN 0.35
3.25 hrs per resident per day
Weekend Nurse Staffing
2.71 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
40.4%
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
33
Infection-Control Citations
1
Fines
2 totaling $347,178.00
Medicare Payment Denials
1
Total Penalties
3
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORBERTO VALLE CRUZ PT
Physical Therapist
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429
KAYLA TATGE
Speech-Language Pathologist
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429
ARCADIA CARE KEWANEE LLC
Durable Medical Equipment & Medical Supplies
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429
KEWANEE HCO, LLC
Skilled Nursing Facility
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429
DR. DIRK ASHLEY DAWSON DPT
Physical Therapist
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429
ARCADIA CARE KEWANEE LLC
Skilled Nursing Facility
144 JUNIOR AVE
KEWANEE, IL 61443
Henry County (309) 853-4429

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 Kewanee Hco, LLC's NPI number?

The NPI number for Kewanee Hco, LLC is 1649236449. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Kewanee Care Home.

Where is Kewanee Hco, LLC located?

Kewanee Hco, LLC is located at 144 Junior Ave, Kewanee, IL 61443. The listed phone number is (309) 853-4429.

What is Kewanee Hco, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Kewanee Hco, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0431346) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Kewanee Hco, LLC a Medicare-certified nursing home?

Yes. Kewanee Care Home is a Medicare-certified nursing home with 84 certified beds.

What quality rating does Kewanee Hco, LLC have?

CMS rates Kewanee Care Home 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Kewanee Hco, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kewanee Hco, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kewanee Hco, LLC was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.