Manorcare Of Northbrook - Northbrook Nursing Home
General Information
UPDATEFederal Provider Number
145982
Provider Name
MANORCARE OF NORTHBROOK
Provider Address
3300 MILWAUKEE AVE.
NORTHBROOK, IL 60062
NORTHBROOK, IL 60062
Provider Phone Number
(847) 795-9700
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
158
Number of Residents in Certified Beds
127
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF NORTHBROOK IL LLC
Date First Approved to Provide Medicare and Medicaid services
1999-04-28
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
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
1.95000
Reported LPN Staffing Hours per Resident per Day
0.27717
Reported RN Staffing Hours per Resident per Day
1.31614
Reported Licensed Staffing Hours per Resident per Day
1.59331
Reported Total Nurse Staffing Hours per Resident per Day
3.54331
Reported Physical Therapist Staffing Hours per Resident Per Day
0.25748
Expected CNA Staffing Hours per Resident per Day
2.66628
Expected LPN Staffing Hours per Resident per Day
0.71745
Expected RN Staffing Hours per Resident per Day
1.15468
Expected Total Nurse Staffing Hours per Resident per Day
4.53841
Adjusted CNA Staffing Hours per Resident per Day
1.79453
Adjusted LPN Staffing Hours per Resident per Day
0.32065
Adjusted RN Staffing Hours per Resident per Day
0.85168
Adjusted Total Nurse Staffing Hours per Resident per Day
3.14708
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
23.33300
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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