Alden Valley Ridge Rehab & Hcc - Bloomingdale Nursing Home
General Information
UPDATEFederal Provider Number
145379
Provider Name
ALDEN VALLEY RIDGE REHAB & HCC
Provider Address
275 EAST ARMY TRAIL ROAD
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
Provider Phone Number
(630) 893-9616
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
207
Number of Residents in Certified Beds
183
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-VALLEY RIDGE REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-06-02
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.31093
Reported LPN Staffing Hours per Resident per Day
0.49399
Reported RN Staffing Hours per Resident per Day
0.68361
Reported Licensed Staffing Hours per Resident per Day
1.17760
Reported Total Nurse Staffing Hours per Resident per Day
2.48853
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07404
Expected CNA Staffing Hours per Resident per Day
2.44670
Expected LPN Staffing Hours per Resident per Day
0.65837
Expected RN Staffing Hours per Resident per Day
1.01252
Expected Total Nurse Staffing Hours per Resident per Day
4.11759
Adjusted CNA Staffing Hours per Resident per Day
1.31468
Adjusted LPN Staffing Hours per Resident per Day
0.62276
Adjusted RN Staffing Hours per Resident per Day
0.50448
Adjusted Total Nurse Staffing Hours per Resident per Day
2.43614
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
48
Cycle 1 Standard Survey Health Date
2014-06-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2013-07-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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