Claridge Healthcare Center - Lake Bluff Nursing Home
General Information
UPDATEFederal Provider Number
145434
Provider Name
CLARIDGE HEALTHCARE CENTER
Provider Address
700 JENKISSON
LAKE BLUFF, IL 60044
LAKE BLUFF, IL 60044
Provider Phone Number
(847) 295-3900
Provider SSA County
570
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
231
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARIDGE OPERATIONS LLC
Date First Approved to Provide Medicare and Medicaid services
1981-08-20
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
2
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
1.59551
Reported LPN Staffing Hours per Resident per Day
0.18718
Reported RN Staffing Hours per Resident per Day
0.81987
Reported Licensed Staffing Hours per Resident per Day
1.00705
Reported Total Nurse Staffing Hours per Resident per Day
2.60256
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03654
Expected CNA Staffing Hours per Resident per Day
2.68589
Expected LPN Staffing Hours per Resident per Day
0.67317
Expected RN Staffing Hours per Resident per Day
0.92370
Expected Total Nurse Staffing Hours per Resident per Day
4.28276
Adjusted CNA Staffing Hours per Resident per Day
1.45758
Adjusted LPN Staffing Hours per Resident per Day
0.23079
Adjusted RN Staffing Hours per Resident per Day
0.66321
Adjusted Total Nurse Staffing Hours per Resident per Day
2.44951
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-08-28
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
15
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
96
Cycle 3 Standard Health Survey Date
2012-06-14
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
48
Cycle 3 Total Health Score
144
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
Number of Fines
2
Total Amount of Fines in Dollars
21360
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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