Salem Village Nursing & Rehab - Joliet Nursing Home
General Information
UPDATEFederal Provider Number
145618
Provider Name
SALEM VILLAGE NURSING & REHAB
Provider Address
1314 ROWELL AVENUE
JOLIET, IL 60433
JOLIET, IL 60433
Provider Phone Number
(815) 727-5451
Provider SSA County
989
Provider County Name
Will
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
266
Number of Residents in Certified Beds
255
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SALEM VILLAGE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-02-16
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.80098
Reported LPN Staffing Hours per Resident per Day
0.69235
Reported RN Staffing Hours per Resident per Day
0.51922
Reported Licensed Staffing Hours per Resident per Day
1.21157
Reported Total Nurse Staffing Hours per Resident per Day
3.01255
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11431
Expected CNA Staffing Hours per Resident per Day
2.50167
Expected LPN Staffing Hours per Resident per Day
0.70542
Expected RN Staffing Hours per Resident per Day
1.14201
Expected Total Nurse Staffing Hours per Resident per Day
4.34910
Adjusted CNA Staffing Hours per Resident per Day
1.76645
Adjusted LPN Staffing Hours per Resident per Day
0.81462
Adjusted RN Staffing Hours per Resident per Day
0.33972
Adjusted Total Nurse Staffing Hours per Resident per Day
2.79214
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
84
Cycle 2 Standard Health Survey Date
2013-06-13
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
84
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
64
Cycle 3 Standard Health Survey Date
2012-08-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
64
Total Weighted Health Survey Score
66.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
9
Number of Fines
2
Total Amount of Fines in Dollars
59720
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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