Springs At Crystal Lake, The - Crystal Lake Nursing Home
General Information
UPDATEFederal Provider Number
145612
Provider Name
SPRINGS AT CRYSTAL LAKE, THE
Provider Address
1000 EAST BRIGHTON LANE
CRYSTAL LAKE, IL 60012
CRYSTAL LAKE, IL 60012
Provider Phone Number
(815) 477-6569
Provider SSA County
640
Provider County Name
Mc Henry
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
97
Number of Residents in Certified Beds
45
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SPRINGS AT CRYSTAL LAKE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-19
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
3
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
2.80778
Reported LPN Staffing Hours per Resident per Day
0.96111
Reported RN Staffing Hours per Resident per Day
1.97889
Reported Licensed Staffing Hours per Resident per Day
2.94000
Reported Total Nurse Staffing Hours per Resident per Day
5.74778
Reported Physical Therapist Staffing Hours per Resident Per Day
0.44778
Expected CNA Staffing Hours per Resident per Day
2.33303
Expected LPN Staffing Hours per Resident per Day
0.71213
Expected RN Staffing Hours per Resident per Day
1.55069
Expected Total Nurse Staffing Hours per Resident per Day
4.59585
Adjusted CNA Staffing Hours per Resident per Day
2.95300
Adjusted LPN Staffing Hours per Resident per Day
1.12019
Adjusted RN Staffing Hours per Resident per Day
0.95353
Adjusted Total Nurse Staffing Hours per Resident per Day
5.04123
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-04-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-03-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
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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