Alden Long Grove Rehab &hc Ctr - Long Grove Nursing Home

General Information

UPDATE
Federal Provider Number
145872
Provider Name
ALDEN LONG GROVE REHAB &HC CTR
Provider Address
2308 OLD HICKS ROAD
LONG GROVE, IL 60047
Provider Phone Number
8474388275
Provider SSA County
570
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
246
Number of Residents in Certified Beds
150
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-LONG GROVE REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-03-12
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
2
Health Inspection Rating Footnote
QM Rating
2
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
1.76400
Reported LPN Staffing Hours per Resident per Day
0.35633
Reported RN Staffing Hours per Resident per Day
0.91700
Reported Licensed Staffing Hours per Resident per Day
1.27333
Reported Total Nurse Staffing Hours per Resident per Day
3.03733
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07633
Expected CNA Staffing Hours per Resident per Day
2.47221
Expected LPN Staffing Hours per Resident per Day
0.62432
Expected RN Staffing Hours per Resident per Day
0.95165
Expected Total Nurse Staffing Hours per Resident per Day
4.04817
Adjusted CNA Staffing Hours per Resident per Day
1.75079
Adjusted LPN Staffing Hours per Resident per Day
0.47372
Adjusted RN Staffing Hours per Resident per Day
0.72000
Adjusted Total Nurse Staffing Hours per Resident per Day
3.02437
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
119
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
119
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-11-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
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
24
Total Weighted Health Survey Score
68.83300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
30291
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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Manorcare Of Libertyville

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