Covenant Hlth Cr Ctr-batavia - Batavia Nursing Home
General Information
UPDATEFederal Provider Number
145409
Provider Name
COVENANT HLTH CR CTR-BATAVIA
Provider Address
831 NORTH BATAVIA AVENUE
BATAVIA, IL 60510
BATAVIA, IL 60510
Provider Phone Number
(630) 879-4300
Provider SSA County
530
Provider County Name
Kane
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
99
Number of Residents in Certified Beds
86
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COVENANT HEALTHCARE CENTERS, INC.
Date First Approved to Provide Medicare and Medicaid services
1980-11-01
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.46860
Reported LPN Staffing Hours per Resident per Day
0.12384
Reported RN Staffing Hours per Resident per Day
1.41047
Reported Licensed Staffing Hours per Resident per Day
1.53430
Reported Total Nurse Staffing Hours per Resident per Day
4.00291
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21686
Expected CNA Staffing Hours per Resident per Day
2.75955
Expected LPN Staffing Hours per Resident per Day
0.63903
Expected RN Staffing Hours per Resident per Day
0.89965
Expected Total Nurse Staffing Hours per Resident per Day
4.29824
Adjusted CNA Staffing Hours per Resident per Day
2.19499
Adjusted LPN Staffing Hours per Resident per Day
0.16085
Adjusted RN Staffing Hours per Resident per Day
1.17146
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75394
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
14
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
60
Cycle 1 Standard Survey Health Date
2014-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
60
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-03-08
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-02-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
44.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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