Alden Estates Of Shorewood - Shorewood Nursing Home
General Information
UPDATEFederal Provider Number
146153
Provider Name
ALDEN ESTATES OF SHOREWOOD
Provider Address
710 W BLACK ROAD
SHOREWOOD, IL 60404
SHOREWOOD, IL 60404
Provider Phone Number
8152308700
Provider SSA County
989
Provider County Name
Will
Ownership Type
For profit - Corporation
Number of Certified Beds
100
Number of Residents in Certified Beds
74
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN ESTATES OF SHOREWOOD, INC
Date First Approved to Provide Medicare and Medicaid services
2012-05-02
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.96284
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.00541
Reported Licensed Staffing Hours per Resident per Day
2.00541
Reported Total Nurse Staffing Hours per Resident per Day
4.96825
Reported Physical Therapist Staffing Hours per Resident Per Day
0.35878
Expected CNA Staffing Hours per Resident per Day
2.47104
Expected LPN Staffing Hours per Resident per Day
0.81688
Expected RN Staffing Hours per Resident per Day
1.71750
Expected Total Nurse Staffing Hours per Resident per Day
5.00541
Adjusted CNA Staffing Hours per Resident per Day
2.94205
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.87246
Adjusted Total Nurse Staffing Hours per Resident per Day
4.00097
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
219
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
89.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
14960
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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