Manorcare Of Westmont - Westmont Nursing Home

General Information

UPDATE
Federal Provider Number
145338
Provider Name
MANORCARE OF WESTMONT
Provider Address
512 EAST OGDEN AVENUE
WESTMONT, IL 60559
Provider Phone Number
6303234400
Provider SSA County
250
Provider County Name
Du Page
Ownership Type
For profit - Corporation
Number of Certified Beds
149
Number of Residents in Certified Beds
116
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF WESTMONT IL LLC
Date First Approved to Provide Medicare and Medicaid services
1977-05-01
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
1
Overall Rating Footnote
Health Inspection Rating
1
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
1.95603
Reported LPN Staffing Hours per Resident per Day
0.60517
Reported RN Staffing Hours per Resident per Day
1.35129
Reported Licensed Staffing Hours per Resident per Day
1.95647
Reported Total Nurse Staffing Hours per Resident per Day
3.91249
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21509
Expected CNA Staffing Hours per Resident per Day
2.51901
Expected LPN Staffing Hours per Resident per Day
0.72360
Expected RN Staffing Hours per Resident per Day
1.26530
Expected Total Nurse Staffing Hours per Resident per Day
4.50792
Adjusted CNA Staffing Hours per Resident per Day
1.90531
Adjusted LPN Staffing Hours per Resident per Day
0.69416
Adjusted RN Staffing Hours per Resident per Day
0.79798
Adjusted Total Nurse Staffing Hours per Resident per Day
3.49848
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
12
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
20
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
227
Cycle 2 Standard Health Survey Date
2014-02-14
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
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-11-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
87.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
Number of Fines
1
Total Amount of Fines in Dollars
57883
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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