Countryside Care Centre - Aurora Nursing Home

General Information

UPDATE
Federal Provider Number
145473
Provider Name
COUNTRYSIDE CARE CENTRE
Provider Address
2330 WEST GALENA BOULEVARD
AURORA, IL 60506
Provider Phone Number
(630) 896-4686
Provider SSA County
530
Provider County Name
Kane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
203
Number of Residents in Certified Beds
177
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SYMPHONY COUNTRYSIDE LLC
Date First Approved to Provide Medicare and Medicaid services
1983-11-01
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
4
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
1.75847
Reported LPN Staffing Hours per Resident per Day
0.25056
Reported RN Staffing Hours per Resident per Day
0.85169
Reported Licensed Staffing Hours per Resident per Day
1.10226
Reported Total Nurse Staffing Hours per Resident per Day
2.86072
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04887
Expected CNA Staffing Hours per Resident per Day
2.63102
Expected LPN Staffing Hours per Resident per Day
0.64288
Expected RN Staffing Hours per Resident per Day
1.07470
Expected Total Nurse Staffing Hours per Resident per Day
4.34859
Adjusted CNA Staffing Hours per Resident per Day
1.63996
Adjusted LPN Staffing Hours per Resident per Day
0.32349
Adjusted RN Staffing Hours per Resident per Day
0.59215
Adjusted Total Nurse Staffing Hours per Resident per Day
2.65173
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-09-26
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
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
4
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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