Manorcare Of Elk Grove Village - Elk Grove Village Nursing Home
General Information
UPDATEFederal Provider Number
145689
Provider Name
MANORCARE OF ELK GROVE VILLAGE
Provider Address
1920 NERGE ROAD
ELK GROVE VILLAGE, IL 60007
ELK GROVE VILLAGE, IL 60007
Provider Phone Number
8473010550
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
190
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF ELK GROVE VILLAGE IL LLC
Date First Approved to Provide Medicare and Medicaid services
1990-11-01
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
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
2.12456
Reported LPN Staffing Hours per Resident per Day
0.25965
Reported RN Staffing Hours per Resident per Day
1.58158
Reported Licensed Staffing Hours per Resident per Day
1.84123
Reported Total Nurse Staffing Hours per Resident per Day
3.96579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33509
Expected CNA Staffing Hours per Resident per Day
2.63408
Expected LPN Staffing Hours per Resident per Day
0.76273
Expected RN Staffing Hours per Resident per Day
1.34387
Expected Total Nurse Staffing Hours per Resident per Day
4.74068
Adjusted CNA Staffing Hours per Resident per Day
1.97907
Adjusted LPN Staffing Hours per Resident per Day
0.28255
Adjusted RN Staffing Hours per Resident per Day
0.87937
Adjusted Total Nurse Staffing Hours per Resident per Day
3.37203
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2015-03-06
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-04-24
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-05-23
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
9.33300
Number of Facility Reported Incidents
2
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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