Park Place Christian Community - Elmhurst Nursing Home
General Information
UPDATEFederal Provider Number
146155
Provider Name
PARK PLACE CHRISTIAN COMMUNITY
Provider Address
1150 EUCLID AVENUE
ELMHURST, IL 60126
ELMHURST, IL 60126
Provider Phone Number
(630) 936-4100
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
37
Number of Residents in Certified Beds
36
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TIMOTHY PLACE, NFP
Date First Approved to Provide Medicare and Medicaid services
2012-11-09
Continuing Care Retirement Community
Y
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
3
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
2.11667
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
1.78750
Reported Licensed Staffing Hours per Resident per Day
1.78750
Reported Total Nurse Staffing Hours per Resident per Day
3.90417
Reported Physical Therapist Staffing Hours per Resident Per Day
1.13056
Expected CNA Staffing Hours per Resident per Day
2.24597
Expected LPN Staffing Hours per Resident per Day
0.70244
Expected RN Staffing Hours per Resident per Day
1.53541
Expected Total Nurse Staffing Hours per Resident per Day
4.48382
Adjusted CNA Staffing Hours per Resident per Day
2.31244
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
0.86988
Adjusted Total Nurse Staffing Hours per Resident per Day
3.50980
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-05-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
4
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-08-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
24.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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