Bella Terra Morton Grove - Morton Grove Nursing Home

General Information

UPDATE

Federal Provider Number

145198

Provider Name

BELLA TERRA MORTON GROVE

Provider Address

8425 WAUKEGAN ROAD
MORTON GROVE, IL 60053

Provider Phone Number

(847) 965-8100

Provider SSA County

141

Provider County Name

Cook

Provider Website

Provider Description

Ownership Type

Non profit - Corporation

Number of Certified Beds

211

Number of Residents in Certified Beds

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

MORTON GROVE LIVING & REHAB CENTER, LLC

Date First Approved to Provide Medicare and Medicaid services

1969-02-13

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

2.93918

Reported LPN Staffing Hours per Resident per Day

0.60722

Reported RN Staffing Hours per Resident per Day

1.11701

Reported Licensed Staffing Hours per Resident per Day

1.72423

Reported Total Nurse Staffing Hours per Resident per Day

4.66341

Reported Physical Therapist Staffing Hours per Resident Per Day

0.14742

Expected CNA Staffing Hours per Resident per Day

2.34138

Expected LPN Staffing Hours per Resident per Day

0.54122

Expected RN Staffing Hours per Resident per Day

0.85068

Expected Total Nurse Staffing Hours per Resident per Day

3.73327

Adjusted CNA Staffing Hours per Resident per Day

3.08018

Adjusted LPN Staffing Hours per Resident per Day

0.93122

Adjusted RN Staffing Hours per Resident per Day

0.98113

Adjusted Total Nurse Staffing Hours per Resident per Day

5.03519

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-04-17

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-05-09

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2012-04-26

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

52.66700

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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