Illinois Nursing Homes >> Woodstock Nursing Homes >> Crossroads Care Ctr Woodstock

Crossroads Care Ctr Woodstock - Woodstock Nursing Home

General Information

UPDATE
Federal Provider Number
145222
Provider Name
CROSSROADS CARE CTR WOODSTOCK
Provider Address
309 MCHENRY AVENUE
WOODSTOCK, IL 60098
Provider Phone Number
(815) 338-1700
Provider SSA County
640
Provider County Name
Mc Henry
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
115
Number of Residents in Certified Beds
88
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CROSSROADS CARE CENTER OF WOODSTOCK, LLC
Date First Approved to Provide Medicare and Medicaid services
1970-11-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
4
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
2.41023
Reported LPN Staffing Hours per Resident per Day
0.49432
Reported RN Staffing Hours per Resident per Day
0.70057
Reported Licensed Staffing Hours per Resident per Day
1.19489
Reported Total Nurse Staffing Hours per Resident per Day
3.60512
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15455
Expected CNA Staffing Hours per Resident per Day
2.33763
Expected LPN Staffing Hours per Resident per Day
0.61399
Expected RN Staffing Hours per Resident per Day
1.01600
Expected Total Nurse Staffing Hours per Resident per Day
3.96763
Adjusted CNA Staffing Hours per Resident per Day
2.52990
Adjusted LPN Staffing Hours per Resident per Day
0.66822
Adjusted RN Staffing Hours per Resident per Day
0.51522
Adjusted Total Nurse Staffing Hours per Resident per Day
3.66261
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
441
Cycle 1 Standard Survey Health Date
2015-01-13
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
221
Cycle 1 Total Health Score
662
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
16
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
116
Cycle 2 Standard Health Survey Date
2014-04-02
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
58
Cycle 2 Total Health Score
174
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2013-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
403.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
20
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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