Lutheran Home For The Aged - Arlington Hts Nursing Home
General Information
UPDATEFederal Provider Number
145739
Provider Name
LUTHERAN HOME FOR THE AGED
Provider Address
800 WEST OAKTON STREET
ARLINGTON HTS, IL 60004
ARLINGTON HTS, IL 60004
Provider Phone Number
(847) 253-3710
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
285
Number of Residents in Certified Beds
276
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LUTHERAN HOME FOR THE AGED
Date First Approved to Provide Medicare and Medicaid services
1992-12-17
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
4
QM Rating Footnote
Staffing Rating
5
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
3.36087
Reported LPN Staffing Hours per Resident per Day
0.25236
Reported RN Staffing Hours per Resident per Day
1.27880
Reported Licensed Staffing Hours per Resident per Day
1.53116
Reported Total Nurse Staffing Hours per Resident per Day
4.89203
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13043
Expected CNA Staffing Hours per Resident per Day
2.39826
Expected LPN Staffing Hours per Resident per Day
0.60399
Expected RN Staffing Hours per Resident per Day
0.98520
Expected Total Nurse Staffing Hours per Resident per Day
3.98745
Adjusted CNA Staffing Hours per Resident per Day
3.43856
Adjusted LPN Staffing Hours per Resident per Day
0.34679
Adjusted RN Staffing Hours per Resident per Day
0.96987
Adjusted Total Nurse Staffing Hours per Resident per Day
4.94534
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-12
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
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
147
Cycle 2 Standard Health Survey Date
2014-01-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
147
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
40
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
69.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
11
Number of Fines
1
Total Amount of Fines in Dollars
14853
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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