Grove At The Lake Living And Rehabilitation - Zion Nursing Home
General Information
UPDATEFederal Provider Number
145665
Provider Name
GROVE AT THE LAKE LIVING AND REHABILITATION
Provider Address
2534 ELIM AVENUE
ZION, IL 60099
ZION, IL 60099
Provider Phone Number
8477468435
Provider SSA County
570
Provider County Name
Lake
Ownership Type
For profit - Individual
Number of Certified Beds
230
Number of Residents in Certified Beds
201
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROVE AT THE LAKE LIVING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
3
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
0.51169
Reported LPN Staffing Hours per Resident per Day
0.56866
Reported RN Staffing Hours per Resident per Day
0.63010
Reported Licensed Staffing Hours per Resident per Day
1.19876
Reported Total Nurse Staffing Hours per Resident per Day
1.71045
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05697
Expected CNA Staffing Hours per Resident per Day
2.46140
Expected LPN Staffing Hours per Resident per Day
0.65651
Expected RN Staffing Hours per Resident per Day
1.08465
Expected Total Nurse Staffing Hours per Resident per Day
4.20255
Adjusted CNA Staffing Hours per Resident per Day
0.51009
Adjusted LPN Staffing Hours per Resident per Day
0.71894
Adjusted RN Staffing Hours per Resident per Day
0.43407
Adjusted Total Nurse Staffing Hours per Resident per Day
1.64059
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
17
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
275
Cycle 2 Standard Health Survey Date
2013-09-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2012-07-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
126.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
20
Number of Fines
1
Total Amount of Fines in Dollars
109363
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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Libertyville Manor Ext Care
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Lake Forest Hospital Snu
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