Manorcare Of Rolling Meadows - Rolling Meadows Nursing Home
General Information
UPDATEFederal Provider Number
145350
Provider Name
MANORCARE OF ROLLING MEADOWS
Provider Address
4225 KIRCHOFF ROAD
ROLLING MEADOWS, IL 60008
ROLLING MEADOWS, IL 60008
Provider Phone Number
(847) 397-2400
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF ROLLING MEADOWS IL LLC
Date First Approved to Provide Medicare and Medicaid services
1977-07-07
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
2
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
1.98034
Reported LPN Staffing Hours per Resident per Day
0.42479
Reported RN Staffing Hours per Resident per Day
0.96966
Reported Licensed Staffing Hours per Resident per Day
1.39444
Reported Total Nurse Staffing Hours per Resident per Day
3.37479
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21026
Expected CNA Staffing Hours per Resident per Day
2.66405
Expected LPN Staffing Hours per Resident per Day
0.64737
Expected RN Staffing Hours per Resident per Day
1.05209
Expected Total Nurse Staffing Hours per Resident per Day
4.36351
Adjusted CNA Staffing Hours per Resident per Day
1.82397
Adjusted LPN Staffing Hours per Resident per Day
0.54463
Adjusted RN Staffing Hours per Resident per Day
0.68866
Adjusted Total Nurse Staffing Hours per Resident per Day
3.11754
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-05-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2013-03-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
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
40
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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