Ballard Respiratory And Rehab - Des Plaines Nursing Home
General Information
UPDATEFederal Provider Number
145334
Provider Name
BALLARD RESPIRATORY AND REHAB
Provider Address
9300 BALLARD ROAD
DES PLAINES, IL 60016
DES PLAINES, IL 60016
Provider Phone Number
(847) 294-2300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
231
Number of Residents in Certified Beds
110
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-01-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.90591
Reported LPN Staffing Hours per Resident per Day
0.13364
Reported RN Staffing Hours per Resident per Day
2.14773
Reported Licensed Staffing Hours per Resident per Day
2.28136
Reported Total Nurse Staffing Hours per Resident per Day
5.18728
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09682
Expected CNA Staffing Hours per Resident per Day
2.43579
Expected LPN Staffing Hours per Resident per Day
0.94669
Expected RN Staffing Hours per Resident per Day
1.56010
Expected Total Nurse Staffing Hours per Resident per Day
4.94258
Adjusted CNA Staffing Hours per Resident per Day
2.92728
Adjusted LPN Staffing Hours per Resident per Day
0.11717
Adjusted RN Staffing Hours per Resident per Day
1.02864
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23047
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
373
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
373
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
60
Cycle 2 Standard Health Survey Date
2013-09-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-10-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
213.83300
Number of Facility Reported Incidents
4
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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