Grove Of La Grange Park - La Grange Park Nursing Home
General Information
UPDATEFederal Provider Number
145307
Provider Name
GROVE OF LA GRANGE PARK
Provider Address
701 NORTH LAGRANGE ROAD
LA GRANGE PARK, IL 60526
LA GRANGE PARK, IL 60526
Provider Phone Number
(708) 354-7300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
106
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROVE OF LAGRANGE PARK LLC
Date First Approved to Provide Medicare and Medicaid services
1975-11-03
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
3
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
2.20425
Reported LPN Staffing Hours per Resident per Day
0.88538
Reported RN Staffing Hours per Resident per Day
0.61274
Reported Licensed Staffing Hours per Resident per Day
1.49811
Reported Total Nurse Staffing Hours per Resident per Day
3.70237
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05377
Expected CNA Staffing Hours per Resident per Day
2.67737
Expected LPN Staffing Hours per Resident per Day
0.67618
Expected RN Staffing Hours per Resident per Day
1.14966
Expected Total Nurse Staffing Hours per Resident per Day
4.50321
Adjusted CNA Staffing Hours per Resident per Day
2.02011
Adjusted LPN Staffing Hours per Resident per Day
1.08679
Adjusted RN Staffing Hours per Resident per Day
0.39824
Adjusted Total Nurse Staffing Hours per Resident per Day
3.31405
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-08-14
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
148
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
148
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
40
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
40
Total Weighted Health Survey Score
98.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
32
Number of Fines
2
Total Amount of Fines in Dollars
22198
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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