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Spring Valley Nursing - Spring Valley Nursing Home

General Information

UPDATE
Federal Provider Number
145486
Provider Name
SPRING VALLEY NURSING
Provider Address
1300 NORTH GREENWOOD STREET
SPRING VALLEY, IL 61362
Provider Phone Number
8156644708
Provider SSA County
50
Provider County Name
Bureau
Ownership Type
For profit - Partnership
Number of Certified Beds
98
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRING VALLEY NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1984-06-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.11929
Reported LPN Staffing Hours per Resident per Day
0.82929
Reported RN Staffing Hours per Resident per Day
0.69000
Reported Licensed Staffing Hours per Resident per Day
1.51929
Reported Total Nurse Staffing Hours per Resident per Day
3.63858
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08143
Expected CNA Staffing Hours per Resident per Day
2.07053
Expected LPN Staffing Hours per Resident per Day
0.59788
Expected RN Staffing Hours per Resident per Day
0.94339
Expected Total Nurse Staffing Hours per Resident per Day
3.61180
Adjusted CNA Staffing Hours per Resident per Day
2.51149
Adjusted LPN Staffing Hours per Resident per Day
1.15125
Adjusted RN Staffing Hours per Resident per Day
0.54651
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06079
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
10
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
140
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
70
Cycle 1 Total Health Score
210
Cycle 2 Total Number of Health Deficiencies
24
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
232
Cycle 2 Standard Health Survey Date
2014-02-19
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
116
Cycle 2 Total Health Score
116
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
228.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
2
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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