Bethany Rehab & Hcc - Dekalb Nursing Home
General Information
UPDATEFederal Provider Number
145958
Provider Name
BETHANY REHAB & HCC
Provider Address
3298 RESOURCE PARKWAY
DEKALB, IL 60115
DEKALB, IL 60115
Provider Phone Number
(815) 756-5526
Provider SSA County
170
Provider County Name
De Kalb
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
81
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BETHANY HEALTH, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1998-01-28
Continuing Care Retirement Community
N
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.14321
Reported LPN Staffing Hours per Resident per Day
0.15370
Reported RN Staffing Hours per Resident per Day
1.43086
Reported Licensed Staffing Hours per Resident per Day
1.58457
Reported Total Nurse Staffing Hours per Resident per Day
3.72777
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17531
Expected CNA Staffing Hours per Resident per Day
2.54342
Expected LPN Staffing Hours per Resident per Day
0.69467
Expected RN Staffing Hours per Resident per Day
1.16089
Expected Total Nurse Staffing Hours per Resident per Day
4.39898
Adjusted CNA Staffing Hours per Resident per Day
2.06761
Adjusted LPN Staffing Hours per Resident per Day
0.18364
Adjusted RN Staffing Hours per Resident per Day
0.92097
Adjusted Total Nurse Staffing Hours per Resident per Day
3.41585
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-08-06
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
6
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-09-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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