Elmbrook Nursing - Elmhurst Nursing Home
General Information
UPDATEFederal Provider Number
145339
Provider Name
ELMBROOK NURSING
Provider Address
127 WEST DIVERSEY
ELMHURST, IL 60126
ELMHURST, IL 60126
Provider Phone Number
(630) 530-5225
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
180
Number of Residents in Certified Beds
163
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMBROOK NURSING LLC
Date First Approved to Provide Medicare and Medicaid services
1978-06-01
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
5
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
1.83129
Reported LPN Staffing Hours per Resident per Day
0.68221
Reported RN Staffing Hours per Resident per Day
0.82546
Reported Licensed Staffing Hours per Resident per Day
1.50767
Reported Total Nurse Staffing Hours per Resident per Day
3.33896
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00736
Expected CNA Staffing Hours per Resident per Day
2.52336
Expected LPN Staffing Hours per Resident per Day
0.61889
Expected RN Staffing Hours per Resident per Day
1.03049
Expected Total Nurse Staffing Hours per Resident per Day
4.17274
Adjusted CNA Staffing Hours per Resident per Day
1.78073
Adjusted LPN Staffing Hours per Resident per Day
0.91492
Adjusted RN Staffing Hours per Resident per Day
0.59854
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22546
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-15
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
21
Cycle 2 Number of Standard Health Deficiencies
19
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-05-09
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
78
Cycle 2 Total Health Score
234
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
103.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
2
Total Amount of Fines in Dollars
15195
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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