Alden Poplar Creek Rehab & Hcc - Hoffman Estates Nursing Home

General Information

UPDATE
Federal Provider Number
145403
Provider Name
ALDEN POPLAR CREEK REHAB & HCC
Provider Address
1545 BARRINGTON ROAD
HOFFMAN ESTATES, IL 60194
Provider Phone Number
8478840011
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Individual
Number of Certified Beds
217
Number of Residents in Certified Beds
177
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-POPLAR CREEK REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
2
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
1.72627
Reported LPN Staffing Hours per Resident per Day
0.37910
Reported RN Staffing Hours per Resident per Day
0.92825
Reported Licensed Staffing Hours per Resident per Day
1.30734
Reported Total Nurse Staffing Hours per Resident per Day
3.03362
Reported Physical Therapist Staffing Hours per Resident Per Day
0.14068
Expected CNA Staffing Hours per Resident per Day
2.63479
Expected LPN Staffing Hours per Resident per Day
0.69795
Expected RN Staffing Hours per Resident per Day
1.14923
Expected Total Nurse Staffing Hours per Resident per Day
4.48197
Adjusted CNA Staffing Hours per Resident per Day
1.60762
Adjusted LPN Staffing Hours per Resident per Day
0.45083
Adjusted RN Staffing Hours per Resident per Day
0.60352
Adjusted Total Nurse Staffing Hours per Resident per Day
2.72831
Cycle 1 Total Number of Health Deficiencies
21
Cycle 1 Number of Standard Health Deficiencies
19
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
128
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
128
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-11-08
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
70.00000
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
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01

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