Lexington Hlth Cr Ctr-blmngdl - Bloomingdale Nursing Home
General Information
UPDATEFederal Provider Number
145638
Provider Name
LEXINGTON HLTH CR CTR-BLMNGDL
Provider Address
165 SOUTH BLOOMINGDALE ROAD
BLOOMINGDALE, IL 60108
BLOOMINGDALE, IL 60108
Provider Phone Number
(630) 980-8700
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
166
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1989-07-13
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
2
Health Inspection Rating Footnote
QM Rating
4
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
1.98355
Reported LPN Staffing Hours per Resident per Day
0.37895
Reported RN Staffing Hours per Resident per Day
0.86579
Reported Licensed Staffing Hours per Resident per Day
1.24474
Reported Total Nurse Staffing Hours per Resident per Day
3.22829
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13289
Expected CNA Staffing Hours per Resident per Day
2.50912
Expected LPN Staffing Hours per Resident per Day
0.63035
Expected RN Staffing Hours per Resident per Day
1.06597
Expected Total Nurse Staffing Hours per Resident per Day
4.20544
Adjusted CNA Staffing Hours per Resident per Day
1.93974
Adjusted LPN Staffing Hours per Resident per Day
0.49898
Adjusted RN Staffing Hours per Resident per Day
0.60688
Adjusted Total Nurse Staffing Hours per Resident per Day
3.09431
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2015-01-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2014-02-06
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
44
Cycle 2 Total Health Score
132
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
56
Cycle 3 Standard Health Survey Date
2013-03-05
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
67.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
14
Number of Fines
3
Total Amount of Fines in Dollars
27398
Number of Payment Denials
0
Total Number of Penalties
3
Location
Processing Date
2015-06-01
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