Lee Manor - Des Plaines Nursing Home
General Information
UPDATEFederal Provider Number
145382
Provider Name
LEE MANOR
Provider Address
1301 LEE STREET
DES PLAINES, IL 60018
DES PLAINES, IL 60018
Provider Phone Number
(847) 635-4000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
262
Number of Residents in Certified Beds
234
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SENECA NURSING HOME, INC.
Date First Approved to Provide Medicare and Medicaid services
1979-06-04
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
2.00107
Reported LPN Staffing Hours per Resident per Day
0.34231
Reported RN Staffing Hours per Resident per Day
0.95192
Reported Licensed Staffing Hours per Resident per Day
1.29423
Reported Total Nurse Staffing Hours per Resident per Day
3.29530
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07949
Expected CNA Staffing Hours per Resident per Day
2.82758
Expected LPN Staffing Hours per Resident per Day
0.69194
Expected RN Staffing Hours per Resident per Day
1.08308
Expected Total Nurse Staffing Hours per Resident per Day
4.60260
Adjusted CNA Staffing Hours per Resident per Day
1.73647
Adjusted LPN Staffing Hours per Resident per Day
0.41061
Adjusted RN Staffing Hours per Resident per Day
0.65671
Adjusted Total Nurse Staffing Hours per Resident per Day
2.88598
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-02-26
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
8
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
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
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
57.33300
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
5
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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