Our Lady Of Angels Ret Home - Joliet Nursing Home
General Information
UPDATEFederal Provider Number
146126
Provider Name
OUR LADY OF ANGELS RET HOME
Provider Address
1201 WYOMING AVENUE
JOLIET, IL 60435
JOLIET, IL 60435
Provider Phone Number
(815) 725-6631
Provider SSA County
989
Provider County Name
Will
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
58
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
OUR LADY OF ANGELS RETIREMENT HOME
Date First Approved to Provide Medicare and Medicaid services
2008-08-15
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
3.88871
Reported LPN Staffing Hours per Resident per Day
1.04032
Reported RN Staffing Hours per Resident per Day
1.31935
Reported Licensed Staffing Hours per Resident per Day
2.35968
Reported Total Nurse Staffing Hours per Resident per Day
6.24838
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07581
Expected CNA Staffing Hours per Resident per Day
2.54204
Expected LPN Staffing Hours per Resident per Day
0.66537
Expected RN Staffing Hours per Resident per Day
1.04599
Expected Total Nurse Staffing Hours per Resident per Day
4.25340
Adjusted CNA Staffing Hours per Resident per Day
3.75357
Adjusted LPN Staffing Hours per Resident per Day
1.29772
Adjusted RN Staffing Hours per Resident per Day
0.94248
Adjusted Total Nurse Staffing Hours per Resident per Day
5.92153
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
28
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
22
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
160
Cycle 3 Standard Health Survey Date
2013-06-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
160
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
1
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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