Marianjoy Rehabilitation Hospital-snf - Wheaton Nursing Home

General Information

UPDATE
Federal Provider Number
146129
Provider Name
MARIANJOY REHABILITATION HOSPITAL-SNF
Provider Address
21 W 171 ROOSEVELT ROAD
WHEATON, IL 60187
Provider Phone Number
(630) 909-8030
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
27
Number of Residents in Certified Beds
26
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
2008-12-18
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
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
1.74038
Reported LPN Staffing Hours per Resident per Day
0.29808
Reported RN Staffing Hours per Resident per Day
2.60192
Reported Licensed Staffing Hours per Resident per Day
2.90000
Reported Total Nurse Staffing Hours per Resident per Day
4.64038
Reported Physical Therapist Staffing Hours per Resident Per Day
0.89038
Expected CNA Staffing Hours per Resident per Day
1.88488
Expected LPN Staffing Hours per Resident per Day
0.61051
Expected RN Staffing Hours per Resident per Day
1.26606
Expected Total Nurse Staffing Hours per Resident per Day
3.76145
Adjusted CNA Staffing Hours per Resident per Day
2.26559
Adjusted LPN Staffing Hours per Resident per Day
0.40525
Adjusted RN Staffing Hours per Resident per Day
1.53559
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97279
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
2015-01-16
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2013-11-26
Cycle 2 Number of Health Revisits
0
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
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-02-08
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
6.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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