Beacon Hill - Lombard Nursing Home
General Information
UPDATEFederal Provider Number
145522
Provider Name
BEACON HILL
Provider Address
2400 SOUTH FINLEY ROAD
LOMBARD, IL 60148
LOMBARD, IL 60148
Provider Phone Number
(630) 620-5850
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
21
Number of Residents in Certified Beds
17
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
LIFESPACE COMMUNITIES INC
Date First Approved to Provide Medicare and Medicaid services
1985-06-01
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
3
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
3.05882
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.38529
Reported Licensed Staffing Hours per Resident per Day
2.38529
Reported Total Nurse Staffing Hours per Resident per Day
5.44411
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.21970
Expected LPN Staffing Hours per Resident per Day
0.69189
Expected RN Staffing Hours per Resident per Day
1.43112
Expected Total Nurse Staffing Hours per Resident per Day
4.34271
Adjusted CNA Staffing Hours per Resident per Day
3.38128
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.24538
Adjusted Total Nurse Staffing Hours per Resident per Day
5.05321
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
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
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
32.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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