Addolorata Villa - Wheeling Nursing Home
General Information
UPDATEFederal Provider Number
145724
Provider Name
ADDOLORATA VILLA
Provider Address
555 MCHENRY ROAD
WHEELING, IL 60090
WHEELING, IL 60090
Provider Phone Number
8475372900
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Church related
Number of Certified Beds
88
Number of Residents in Certified Beds
82
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANCISCAN COMMUNITIES, INC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
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
2.89024
Reported LPN Staffing Hours per Resident per Day
0.52439
Reported RN Staffing Hours per Resident per Day
1.39939
Reported Licensed Staffing Hours per Resident per Day
1.92378
Reported Total Nurse Staffing Hours per Resident per Day
4.81402
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11402
Expected CNA Staffing Hours per Resident per Day
2.74377
Expected LPN Staffing Hours per Resident per Day
0.62725
Expected RN Staffing Hours per Resident per Day
0.94358
Expected Total Nurse Staffing Hours per Resident per Day
4.31460
Adjusted CNA Staffing Hours per Resident per Day
2.58468
Adjusted LPN Staffing Hours per Resident per Day
0.69389
Adjusted RN Staffing Hours per Resident per Day
1.10814
Adjusted Total Nurse Staffing Hours per Resident per Day
4.49748
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2014-02-06
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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