Lexington Of Lagrange - La Grange Nursing Home
General Information
UPDATEFederal Provider Number
145737
Provider Name
LEXINGTON OF LAGRANGE
Provider Address
4735 WILLOW SPRINGS ROAD
LA GRANGE, IL 60525
LA GRANGE, IL 60525
Provider Phone Number
(708) 352-6900
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
90
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
1992-09-07
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.72833
Reported LPN Staffing Hours per Resident per Day
0.78222
Reported RN Staffing Hours per Resident per Day
0.87500
Reported Licensed Staffing Hours per Resident per Day
1.65722
Reported Total Nurse Staffing Hours per Resident per Day
3.38555
Reported Physical Therapist Staffing Hours per Resident Per Day
1.67611
Expected CNA Staffing Hours per Resident per Day
2.37579
Expected LPN Staffing Hours per Resident per Day
0.72283
Expected RN Staffing Hours per Resident per Day
1.49102
Expected Total Nurse Staffing Hours per Resident per Day
4.58964
Adjusted CNA Staffing Hours per Resident per Day
1.78501
Adjusted LPN Staffing Hours per Resident per Day
0.89819
Adjusted RN Staffing Hours per Resident per Day
0.43849
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97339
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2015-04-17
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
3
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-06-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
28.00000
Number of Facility Reported Incidents
1
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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