Elmhurst Extended Care Center - Elmhurst Nursing Home
General Information
UPDATEFederal Provider Number
145111
Provider Name
ELMHURST EXTENDED CARE CENTER
Provider Address
200 EAST LAKE STREET
ELMHURST, IL 60126
ELMHURST, IL 60126
Provider Phone Number
(630) 516-5000
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
26
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SBNB, INC.
Date First Approved to Provide Medicare and Medicaid services
1967-01-10
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
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
2.44423
Reported LPN Staffing Hours per Resident per Day
0.30769
Reported RN Staffing Hours per Resident per Day
1.91154
Reported Licensed Staffing Hours per Resident per Day
2.21923
Reported Total Nurse Staffing Hours per Resident per Day
4.66346
Reported Physical Therapist Staffing Hours per Resident Per Day
0.41346
Expected CNA Staffing Hours per Resident per Day
2.62221
Expected LPN Staffing Hours per Resident per Day
0.70781
Expected RN Staffing Hours per Resident per Day
1.23793
Expected Total Nurse Staffing Hours per Resident per Day
4.56796
Adjusted CNA Staffing Hours per Resident per Day
2.28715
Adjusted LPN Staffing Hours per Resident per Day
0.36081
Adjusted RN Staffing Hours per Resident per Day
1.15379
Adjusted Total Nurse Staffing Hours per Resident per Day
4.11518
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
12
Cycle 2 Standard Health Survey Date
2013-10-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-12-07
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
12.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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