Glenlake Terrace Nursing & Reh - Waukegan Nursing Home
General Information
UPDATEFederal Provider Number
145669
Provider Name
GLENLAKE TERRACE NURSING & REH
Provider Address
2222 WEST 14TH STREET
WAUKEGAN, IL 60085
WAUKEGAN, IL 60085
Provider Phone Number
(847) 249-2400
Provider SSA County
570
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
265
Number of Residents in Certified Beds
208
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PINNACLE, INC.
Date First Approved to Provide Medicare and Medicaid services
1989-12-29
Continuing Care Retirement Community
N
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
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.96563
Reported LPN Staffing Hours per Resident per Day
0.70385
Reported RN Staffing Hours per Resident per Day
1.44567
Reported Licensed Staffing Hours per Resident per Day
2.14952
Reported Total Nurse Staffing Hours per Resident per Day
4.11515
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11010
Expected CNA Staffing Hours per Resident per Day
2.31859
Expected LPN Staffing Hours per Resident per Day
0.74916
Expected RN Staffing Hours per Resident per Day
1.14872
Expected Total Nurse Staffing Hours per Resident per Day
4.21647
Adjusted CNA Staffing Hours per Resident per Day
2.08017
Adjusted LPN Staffing Hours per Resident per Day
0.77980
Adjusted RN Staffing Hours per Resident per Day
0.94036
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93404
Cycle 1 Total Number of Health Deficiencies
26
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
17
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
13
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2014-01-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-12-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
29
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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