South Elgin Rehab & Hcc - South Elgin Nursing Home
General Information
UPDATEFederal Provider Number
145825
Provider Name
SOUTH ELGIN REHAB & HCC
Provider Address
746 WEST SPRING STREET
SOUTH ELGIN, IL 60177
SOUTH ELGIN, IL 60177
Provider Phone Number
(847) 697-0565
Provider SSA County
530
Provider County Name
Kane
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
90
Number of Residents in Certified Beds
73
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1995-03-15
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
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
1.65753
Reported LPN Staffing Hours per Resident per Day
0.41781
Reported RN Staffing Hours per Resident per Day
0.83630
Reported Licensed Staffing Hours per Resident per Day
1.25411
Reported Total Nurse Staffing Hours per Resident per Day
2.91164
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08288
Expected CNA Staffing Hours per Resident per Day
2.42007
Expected LPN Staffing Hours per Resident per Day
0.67423
Expected RN Staffing Hours per Resident per Day
0.96434
Expected Total Nurse Staffing Hours per Resident per Day
4.05864
Adjusted CNA Staffing Hours per Resident per Day
1.68056
Adjusted LPN Staffing Hours per Resident per Day
0.51434
Adjusted RN Staffing Hours per Resident per Day
0.64799
Adjusted Total Nurse Staffing Hours per Resident per Day
2.89174
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
12
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
72
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
72
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
11
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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