Meadowbrook Manor - Naperville - Naperville Nursing Home
General Information
UPDATEFederal Provider Number
145874
Provider Name
MEADOWBROOK MANOR - NAPERVILLE
Provider Address
720 RAYMOND DRIVE
NAPERVILLE, IL 60563
NAPERVILLE, IL 60563
Provider Phone Number
(630) 355-0220
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
245
Number of Residents in Certified Beds
240
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BUTTERFIELD HEALTH CARE II INC
Date First Approved to Provide Medicare and Medicaid services
1996-05-20
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
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
1.78250
Reported LPN Staffing Hours per Resident per Day
0.57021
Reported RN Staffing Hours per Resident per Day
0.75521
Reported Licensed Staffing Hours per Resident per Day
1.32542
Reported Total Nurse Staffing Hours per Resident per Day
3.10792
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33229
Expected CNA Staffing Hours per Resident per Day
2.64388
Expected LPN Staffing Hours per Resident per Day
0.65194
Expected RN Staffing Hours per Resident per Day
1.02771
Expected Total Nurse Staffing Hours per Resident per Day
4.32353
Adjusted CNA Staffing Hours per Resident per Day
1.65428
Adjusted LPN Staffing Hours per Resident per Day
0.72595
Adjusted RN Staffing Hours per Resident per Day
0.54908
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89757
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
143
Cycle 2 Standard Health Survey Date
2013-12-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
143
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
10
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-11-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
87.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
Number of Fines
1
Total Amount of Fines in Dollars
7952
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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