Grove Of Northbrook L & R - Northbrook Nursing Home
General Information
UPDATEFederal Provider Number
145809
Provider Name
GROVE OF NORTHBROOK L & R
Provider Address
263 SKOKIE BOULEVARD
NORTHBROOK, IL 60062
NORTHBROOK, IL 60062
Provider Phone Number
(847) 564-0505
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
134
Number of Residents in Certified Beds
121
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROVE OF NORTHBROOK LIVING & REHAB CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-11-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
1.83017
Reported LPN Staffing Hours per Resident per Day
0.46653
Reported RN Staffing Hours per Resident per Day
1.39298
Reported Licensed Staffing Hours per Resident per Day
1.85950
Reported Total Nurse Staffing Hours per Resident per Day
3.68968
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07066
Expected CNA Staffing Hours per Resident per Day
2.36432
Expected LPN Staffing Hours per Resident per Day
0.63231
Expected RN Staffing Hours per Resident per Day
0.99796
Expected Total Nurse Staffing Hours per Resident per Day
3.99459
Adjusted CNA Staffing Hours per Resident per Day
1.89936
Adjusted LPN Staffing Hours per Resident per Day
0.61239
Adjusted RN Staffing Hours per Resident per Day
1.04296
Adjusted Total Nurse Staffing Hours per Resident per Day
3.72322
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
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
8
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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