Franciscan Village - Lemont Nursing Home

General Information

UPDATE
Federal Provider Number
146029
Provider Name
FRANCISCAN VILLAGE
Provider Address
1270 FRANCISCAN DRIVE
LEMONT, IL 60439
Provider Phone Number
6302433406
Provider SSA County
250
Provider County Name
Du Page
Ownership Type
Non profit - Church related
Number of Certified Beds
67
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
FRANCISCAN COMMUNITIES, INC
Date First Approved to Provide Medicare and Medicaid services
1991-04-19
Continuing Care Retirement Community
Y
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
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.14268
Reported LPN Staffing Hours per Resident per Day
0.41829
Reported RN Staffing Hours per Resident per Day
0.82561
Reported Licensed Staffing Hours per Resident per Day
1.24390
Reported Total Nurse Staffing Hours per Resident per Day
3.38658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13943
Expected CNA Staffing Hours per Resident per Day
2.49014
Expected LPN Staffing Hours per Resident per Day
0.70563
Expected RN Staffing Hours per Resident per Day
1.30001
Expected Total Nurse Staffing Hours per Resident per Day
4.49577
Adjusted CNA Staffing Hours per Resident per Day
2.11133
Adjusted LPN Staffing Hours per Resident per Day
0.49201
Adjusted RN Staffing Hours per Resident per Day
0.47453
Adjusted Total Nurse Staffing Hours per Resident per Day
3.03640
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-06-27
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
2
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-07-19
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
16
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
13.33300
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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