Claremont Rehab & Living Ctr - Buffalo Grove Nursing Home
General Information
UPDATEFederal Provider Number
145819
Provider Name
CLAREMONT REHAB & LIVING CTR
Provider Address
150 NORTH WEILAND ROAD
BUFFALO GROVE, IL 60089
BUFFALO GROVE, IL 60089
Provider Phone Number
8474650200
Provider SSA County
570
Provider County Name
Lake
Ownership Type
For profit - Partnership
Number of Certified Beds
200
Number of Residents in Certified Beds
178
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLAREMONT EXTENDED HEALTHCARE,LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-02
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22303
Reported LPN Staffing Hours per Resident per Day
0.55702
Reported RN Staffing Hours per Resident per Day
0.95674
Reported Licensed Staffing Hours per Resident per Day
1.51376
Reported Total Nurse Staffing Hours per Resident per Day
3.73679
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24129
Expected CNA Staffing Hours per Resident per Day
2.65044
Expected LPN Staffing Hours per Resident per Day
0.69742
Expected RN Staffing Hours per Resident per Day
1.26467
Expected Total Nurse Staffing Hours per Resident per Day
4.61253
Adjusted CNA Staffing Hours per Resident per Day
2.05802
Adjusted LPN Staffing Hours per Resident per Day
0.66291
Adjusted RN Staffing Hours per Resident per Day
0.56527
Adjusted Total Nurse Staffing Hours per Resident per Day
3.26559
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
16
Cycle 1 Standard Survey Health Date
2015-02-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-03-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
27.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
Number of Fines
1
Total Amount of Fines in Dollars
19850
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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