Bridgeway Senior Living - Bensenville Nursing Home
General Information
UPDATEFederal Provider Number
145420
Provider Name
BRIDGEWAY SENIOR LIVING
Provider Address
111 EAST WASHINGTON
BENSENVILLE, IL 60106
BENSENVILLE, IL 60106
Provider Phone Number
(630) 766-5800
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
222
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MIDWEST SENIOR MINISTRIES, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-06-12
Continuing Care Retirement Community
Y
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
4
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
2.18810
Reported LPN Staffing Hours per Resident per Day
0.48095
Reported RN Staffing Hours per Resident per Day
1.15000
Reported Licensed Staffing Hours per Resident per Day
1.63095
Reported Total Nurse Staffing Hours per Resident per Day
3.81905
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11803
Expected CNA Staffing Hours per Resident per Day
2.48479
Expected LPN Staffing Hours per Resident per Day
0.64095
Expected RN Staffing Hours per Resident per Day
1.08708
Expected Total Nurse Staffing Hours per Resident per Day
4.21283
Adjusted CNA Staffing Hours per Resident per Day
2.16072
Adjusted LPN Staffing Hours per Resident per Day
0.62280
Adjusted RN Staffing Hours per Resident per Day
0.79045
Adjusted Total Nurse Staffing Hours per Resident per Day
3.65413
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-17
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
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-12-06
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
40.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
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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