Heritage Health-elgin - Elgin Nursing Home
General Information
UPDATEFederal Provider Number
145447
Provider Name
HERITAGE HEALTH-ELGIN
Provider Address
355 RAYMOND STREET
ELGIN, IL 60120
ELGIN, IL 60120
Provider Phone Number
(847) 697-6636
Provider SSA County
530
Provider County Name
Kane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
94
Number of Residents in Certified Beds
87
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
HERITAGE MANOR ELGIN LLC
Date First Approved to Provide Medicare and Medicaid services
1982-07-08
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
2.25287
Reported LPN Staffing Hours per Resident per Day
0.38736
Reported RN Staffing Hours per Resident per Day
1.22759
Reported Licensed Staffing Hours per Resident per Day
1.61494
Reported Total Nurse Staffing Hours per Resident per Day
3.86782
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06552
Expected CNA Staffing Hours per Resident per Day
2.58533
Expected LPN Staffing Hours per Resident per Day
0.57888
Expected RN Staffing Hours per Resident per Day
0.90176
Expected Total Nurse Staffing Hours per Resident per Day
4.06597
Adjusted CNA Staffing Hours per Resident per Day
2.13816
Adjusted LPN Staffing Hours per Resident per Day
0.55540
Adjusted RN Staffing Hours per Resident per Day
1.01719
Adjusted Total Nurse Staffing Hours per Resident per Day
3.83446
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-11-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
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
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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