ROSEVILLE REHABILITATION & HEALTH CARE
NPI 1710201793
Skilled Nursing Facility in Roseville, IL

Active since March 20, 2010CLIA 14D0646796 · Waiver
2/5
Overall Rating
145 S CHAMBERLAIN ST, ROSEVILLE, IL 61473(309) 691-8113 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roseville Rehabilitation & Health Care NPPES

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

ROSEVILLE REHABILITATION & HEALTH CARE (NPI 1710201793) is a healthcare organization registered as a skilled nursing facility in Roseville, Illinois and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mark Petersen, Manager, as its authorized official.

NPPES Registry Identity

NPI1710201793
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NamePETERSEN HEALTH CARE ROSEVILLE LLC
Location Address145 S CHAMBERLAIN STRoseville, IL 61473-9581
Mailing Address830 W Trailcreek DrPeoria, IL 61614-1862
Organization SubpartNo
Authorized OfficialMark PetersenManager · (309) 691-8113
Enumeration DateMarch 20, 2010
Last NPPES UpdateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
NPI 1710201793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

145 S CHAMBERLAIN ST, Roseville, IL 61473

Other Names 1

Doing Business AsRoseville Rehabilitation & Health Care

Accepted 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 14D0646796

Roseville Rehabilitation & Health Care Petersen Health Care - Roseville, LLC · Roseville, IL
Active · expires Aug 31, 2026
CLIA Number14D0646796
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorKim D. Wynkoop
Laboratory Phone(309) 426-2134
Laboratory LocationRoseville Rehabilitation & Health Care Petersen Health Care - Roseville, LLC145 S Chamberlain, Roseville, IL 61473
CLIA data matches this NPI record on: Address Name
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 Roseville Rehab & Health Care (CMS certification number 146020), from CMS Care Compare.

Roseville Rehab & Health Care

Nursing home · Roseville, IL
2/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number146020
Certified Beds99 beds50 residents per day on average
Medicare & Medicaid Participant SinceApril 1, 2002
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.
3/5
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.
2/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
102.17
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 1.86 · LPN 0.59 · RN 0.47
2.92 hrs per resident per day
Weekend Nurse Staffing
2.37 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.
38.9%
Registered Nurse Turnover
16.7%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

CMS has flagged this facility with its abuse flag, indicating a citation for abuse or neglect on a recent inspection report.
Facility-Reported Incidents
0
Substantiated Complaints
3
Infection-Control Citations
0
Fines
1 totaling $64,200.50
Medicare Payment Denials
0
Total Penalties
1
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.

Skilled Nursing Facility
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473
Skilled Nursing Facility
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473
Physical Therapy Assistant
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473
Physical Therapy Assistant
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473
Speech-Language Pathologist
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473
Durable Medical Equipment & Medical Supplies
145 S CHAMBERLAIN ST
ROSEVILLE, IL 61473

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 Care Roseville LLC's NPI number?

The NPI number for Petersen Health Care Roseville LLC is 1710201793. It was assigned to this organization in the NPPES registry on March 20, 2010. The provider is doing business as Roseville Rehabilitation & Health Care.

Where is Petersen Health Care Roseville LLC located?

Petersen Health Care Roseville LLC is located at 145 S Chamberlain St, Roseville, IL 61473. The listed phone number is (309) 691-8113.

What is Petersen Health Care Roseville LLC's specialty?

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

Does Petersen Health Care Roseville LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0646796) 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 Care Roseville LLC a Medicare-certified nursing home?

Yes. Roseville Rehab & Health Care is a Medicare-certified nursing home with 99 certified beds.

What quality rating does Petersen Health Care Roseville LLC have?

CMS rates Roseville Rehab & Health Care 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Petersen Health Care Roseville LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Petersen Health Care Roseville 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 Petersen Health Care Roseville LLC was last updated on February 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.