Lakewood Nrsg & Rehab Center - Plainfield Nursing Home
General Information
UPDATEFederal Provider Number
145761
Provider Name
LAKEWOOD NRSG & REHAB CENTER
Provider Address
14716 S EASTERN AVENUE
PLAINFIELD, IL 60544
PLAINFIELD, IL 60544
Provider Phone Number
(815) 436-3400
Provider SSA County
989
Provider County Name
Will
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
131
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEWOOD NURSING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-07-07
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
3
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86150
Reported LPN Staffing Hours per Resident per Day
0.60398
Reported RN Staffing Hours per Resident per Day
0.88230
Reported Licensed Staffing Hours per Resident per Day
1.48628
Reported Total Nurse Staffing Hours per Resident per Day
3.34778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21372
Expected CNA Staffing Hours per Resident per Day
2.68749
Expected LPN Staffing Hours per Resident per Day
0.67833
Expected RN Staffing Hours per Resident per Day
1.16765
Expected Total Nurse Staffing Hours per Resident per Day
4.53346
Adjusted CNA Staffing Hours per Resident per Day
1.69956
Adjusted LPN Staffing Hours per Resident per Day
0.73903
Adjusted RN Staffing Hours per Resident per Day
0.56460
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97666
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2014-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-05-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
34.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
9
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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