Burgess Square Healthcare Ctr - Westmont Nursing Home
General Information
UPDATEFederal Provider Number
145219
Provider Name
BURGESS SQUARE HEALTHCARE CTR
Provider Address
5801 SOUTH CASS AVENUE
WESTMONT, IL 60559
WESTMONT, IL 60559
Provider Phone Number
(630) 971-2645
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
203
Number of Residents in Certified Beds
143
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BURGESS SQUARE HEALTHCARE AND REHABILITATION CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-05-07
Continuing Care Retirement Community
N
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
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
2.22832
Reported LPN Staffing Hours per Resident per Day
0.35105
Reported RN Staffing Hours per Resident per Day
1.47378
Reported Licensed Staffing Hours per Resident per Day
1.82483
Reported Total Nurse Staffing Hours per Resident per Day
4.05315
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41713
Expected CNA Staffing Hours per Resident per Day
2.48817
Expected LPN Staffing Hours per Resident per Day
0.72607
Expected RN Staffing Hours per Resident per Day
1.36524
Expected Total Nurse Staffing Hours per Resident per Day
4.57949
Adjusted CNA Staffing Hours per Resident per Day
2.19745
Adjusted LPN Staffing Hours per Resident per Day
0.40130
Adjusted RN Staffing Hours per Resident per Day
0.80660
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56762
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
34.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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