Alden Estates Of Evanston - Evanston Nursing Home
General Information
UPDATEFederal Provider Number
145907
Provider Name
ALDEN ESTATES OF EVANSTON
Provider Address
2520 GROSS POINT ROAD
EVANSTON, IL 60201
EVANSTON, IL 60201
Provider Phone Number
(847) 328-6000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
60
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN ESTATES OF EVANSTON, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-10-09
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.73833
Reported LPN Staffing Hours per Resident per Day
0.09250
Reported RN Staffing Hours per Resident per Day
1.96917
Reported Licensed Staffing Hours per Resident per Day
2.06167
Reported Total Nurse Staffing Hours per Resident per Day
3.80000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23417
Expected CNA Staffing Hours per Resident per Day
2.35182
Expected LPN Staffing Hours per Resident per Day
0.80606
Expected RN Staffing Hours per Resident per Day
1.60565
Expected Total Nurse Staffing Hours per Resident per Day
4.76352
Adjusted CNA Staffing Hours per Resident per Day
1.81364
Adjusted LPN Staffing Hours per Resident per Day
0.09525
Adjusted RN Staffing Hours per Resident per Day
0.91637
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21557
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-02-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
11610
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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