Avanti Wellness & Rehab - Niles Nursing Home
General Information
UPDATEFederal Provider Number
145630
Provider Name
AVANTI WELLNESS & REHAB
Provider Address
6840 WEST TOUHY AVENUE
NILES, IL 60714
NILES, IL 60714
Provider Phone Number
(847) 647-6400
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
212
Number of Residents in Certified Beds
145
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FOREST VILLA NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.86793
Reported LPN Staffing Hours per Resident per Day
1.01586
Reported RN Staffing Hours per Resident per Day
0.93862
Reported Licensed Staffing Hours per Resident per Day
1.95448
Reported Total Nurse Staffing Hours per Resident per Day
4.82241
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17517
Expected CNA Staffing Hours per Resident per Day
2.73619
Expected LPN Staffing Hours per Resident per Day
0.73775
Expected RN Staffing Hours per Resident per Day
1.22269
Expected Total Nurse Staffing Hours per Resident per Day
4.69663
Adjusted CNA Staffing Hours per Resident per Day
2.57184
Adjusted LPN Staffing Hours per Resident per Day
1.14288
Adjusted RN Staffing Hours per Resident per Day
0.57360
Adjusted Total Nurse Staffing Hours per Resident per Day
4.13885
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-04-25
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
76
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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