Lexington Of Lake Zurich - Lake Zurich Nursing Home
General Information
UPDATEFederal Provider Number
145816
Provider Name
LEXINGTON OF LAKE ZURICH
Provider Address
900 SOUTH RAND ROAD
LAKE ZURICH, IL 60047
LAKE ZURICH, IL 60047
Provider Phone Number
8477261200
Provider SSA County
570
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
203
Number of Residents in Certified Beds
191
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LEXINGTON HEALTH CARE CENTER OF LAKE ZURICH INC
Date First Approved to Provide Medicare and Medicaid services
1994-09-07
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.21545
Reported LPN Staffing Hours per Resident per Day
0.32539
Reported RN Staffing Hours per Resident per Day
1.14293
Reported Licensed Staffing Hours per Resident per Day
1.46832
Reported Total Nurse Staffing Hours per Resident per Day
3.68377
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10733
Expected CNA Staffing Hours per Resident per Day
2.50153
Expected LPN Staffing Hours per Resident per Day
0.58819
Expected RN Staffing Hours per Resident per Day
0.94750
Expected Total Nurse Staffing Hours per Resident per Day
4.03721
Adjusted CNA Staffing Hours per Resident per Day
2.17309
Adjusted LPN Staffing Hours per Resident per Day
0.45916
Adjusted RN Staffing Hours per Resident per Day
0.90132
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67801
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-06-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-05-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-04-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
48.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
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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