Lexington Of Streamwood - Streamwood Nursing Home

General Information

UPDATE
Federal Provider Number
145701
Provider Name
LEXINGTON OF STREAMWOOD
Provider Address
815 EAST IRVING PARK ROAD
STREAMWOOD, IL 60107
Provider Phone Number
6308375300
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Individual
Number of Certified Beds
214
Number of Residents in Certified Beds
175
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
1991-08-28
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
2
QM Rating Footnote
Staffing Rating
4
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
2.91943
Reported LPN Staffing Hours per Resident per Day
0.93429
Reported RN Staffing Hours per Resident per Day
0.97286
Reported Licensed Staffing Hours per Resident per Day
1.90714
Reported Total Nurse Staffing Hours per Resident per Day
4.82658
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07543
Expected CNA Staffing Hours per Resident per Day
2.60439
Expected LPN Staffing Hours per Resident per Day
0.64889
Expected RN Staffing Hours per Resident per Day
1.03362
Expected Total Nurse Staffing Hours per Resident per Day
4.28690
Adjusted CNA Staffing Hours per Resident per Day
2.75052
Adjusted LPN Staffing Hours per Resident per Day
1.19506
Adjusted RN Staffing Hours per Resident per Day
0.70327
Adjusted Total Nurse Staffing Hours per Resident per Day
4.53835
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2014-04-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-03-22
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
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-04-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
3
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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