Presence Maryhaven Nsg & Rehab - Glenview Nursing Home
General Information
UPDATEFederal Provider Number
145741
Provider Name
PRESENCE MARYHAVEN NSG & REHAB
Provider Address
1700 EAST LAKE AVENUE
GLENVIEW, IL 60025
GLENVIEW, IL 60025
Provider Phone Number
(847) 729-1300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
135
Number of Residents in Certified Beds
113
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESENCE RHC SENIOR SERVICES
Date First Approved to Provide Medicare and Medicaid services
1993-04-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
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
2.49027
Reported LPN Staffing Hours per Resident per Day
0.11372
Reported RN Staffing Hours per Resident per Day
1.39336
Reported Licensed Staffing Hours per Resident per Day
1.50708
Reported Total Nurse Staffing Hours per Resident per Day
3.99735
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06327
Expected CNA Staffing Hours per Resident per Day
2.57346
Expected LPN Staffing Hours per Resident per Day
0.61400
Expected RN Staffing Hours per Resident per Day
1.02644
Expected Total Nurse Staffing Hours per Resident per Day
4.21390
Adjusted CNA Staffing Hours per Resident per Day
2.37438
Adjusted LPN Staffing Hours per Resident per Day
0.15372
Adjusted RN Staffing Hours per Resident per Day
1.01430
Adjusted Total Nurse Staffing Hours per Resident per Day
3.82376
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-07-17
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-05-23
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
25.33300
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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