Manorcare Of Elgin - Elgin Nursing Home
General Information
UPDATEFederal Provider Number
145004
Provider Name
MANORCARE OF ELGIN
Provider Address
180 SOUTH STATE STREET
ELGIN, IL 60123
ELGIN, IL 60123
Provider Phone Number
(847) 742-3110
Provider SSA County
530
Provider County Name
Kane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
88
Number of Residents in Certified Beds
78
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF ELGIN IL LLC
Date First Approved to Provide Medicare and Medicaid services
1967-01-01
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
3
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
1.89103
Reported LPN Staffing Hours per Resident per Day
0.40321
Reported RN Staffing Hours per Resident per Day
1.04038
Reported Licensed Staffing Hours per Resident per Day
1.44359
Reported Total Nurse Staffing Hours per Resident per Day
3.33462
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07308
Expected CNA Staffing Hours per Resident per Day
2.40440
Expected LPN Staffing Hours per Resident per Day
0.68524
Expected RN Staffing Hours per Resident per Day
1.07807
Expected Total Nurse Staffing Hours per Resident per Day
4.16770
Adjusted CNA Staffing Hours per Resident per Day
1.92981
Adjusted LPN Staffing Hours per Resident per Day
0.48839
Adjusted RN Staffing Hours per Resident per Day
0.72108
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22516
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-09-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-10-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
26.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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