Kankakee Terrace Nursing Ctr - Bourbonnais Nursing Home
General Information
UPDATEFederal Provider Number
140000000000000000000000000000
Provider Name
KANKAKEE TERRACE NURSING CTR
Provider Address
100 BELLE AIRE
BOURBONNAIS, IL 60914
BOURBONNAIS, IL 60914
Provider Phone Number
(815) 939-0910
Provider SSA County
540
Provider County Name
Kankakee
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
146
Number of Residents in Certified Beds
139
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1975-04-07
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.11079
Reported LPN Staffing Hours per Resident per Day
0.43165
Reported RN Staffing Hours per Resident per Day
0.12302
Reported Licensed Staffing Hours per Resident per Day
0.55468
Reported Total Nurse Staffing Hours per Resident per Day
1.66546
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01043
Expected CNA Staffing Hours per Resident per Day
1.32414
Expected LPN Staffing Hours per Resident per Day
0.46358
Expected RN Staffing Hours per Resident per Day
0.55384
Expected Total Nurse Staffing Hours per Resident per Day
2.34156
Adjusted CNA Staffing Hours per Resident per Day
2.05835
Adjusted LPN Staffing Hours per Resident per Day
0.77283
Adjusted RN Staffing Hours per Resident per Day
0.16597
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86702
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-08-22
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
11
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-04-01
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
7
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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