Assisi Healthcare Of Clare Oaks - Bartlett Nursing Home
General Information
UPDATEFederal Provider Number
146125
Provider Name
ASSISI HEALTHCARE OF CLARE OAKS
Provider Address
829 CARILLON DRIVE
BARTLETT, IL 60103
BARTLETT, IL 60103
Provider Phone Number
6304833905
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
90
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARE OAKS
Date First Approved to Provide Medicare and Medicaid services
2008-07-10
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
5
Overall Rating Footnote
Health Inspection Rating
4
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
3.21000
Reported LPN Staffing Hours per Resident per Day
0.90333
Reported RN Staffing Hours per Resident per Day
1.59278
Reported Licensed Staffing Hours per Resident per Day
2.49611
Reported Total Nurse Staffing Hours per Resident per Day
5.70611
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28556
Expected CNA Staffing Hours per Resident per Day
2.44705
Expected LPN Staffing Hours per Resident per Day
0.61798
Expected RN Staffing Hours per Resident per Day
1.07796
Expected Total Nurse Staffing Hours per Resident per Day
4.14300
Adjusted CNA Staffing Hours per Resident per Day
3.21872
Adjusted LPN Staffing Hours per Resident per Day
1.21324
Adjusted RN Staffing Hours per Resident per Day
1.10405
Adjusted Total Nurse Staffing Hours per Resident per Day
5.55172
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-02-26
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
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-03-20
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
4
Cycle 3 Standard Health Survey Date
2013-04-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
21.33300
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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