St Joseph's Home F/t Elderly - Palatine Nursing Home
General Information
UPDATEFederal Provider Number
14A332
Provider Name
ST JOSEPH'S HOME F/T ELDERLY
Provider Address
80 WEST NORTHWEST HIGHWAY
PALATINE, IL 60067
PALATINE, IL 60067
Provider Phone Number
(847) 358-5700
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
59
Number of Residents in Certified Beds
53
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1981-08-29
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
4
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
2.83302
Reported LPN Staffing Hours per Resident per Day
0.47170
Reported RN Staffing Hours per Resident per Day
1.23585
Reported Licensed Staffing Hours per Resident per Day
1.70755
Reported Total Nurse Staffing Hours per Resident per Day
4.54057
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02170
Expected CNA Staffing Hours per Resident per Day
2.04956
Expected LPN Staffing Hours per Resident per Day
0.55710
Expected RN Staffing Hours per Resident per Day
0.70767
Expected Total Nurse Staffing Hours per Resident per Day
3.31433
Adjusted CNA Staffing Hours per Resident per Day
3.39165
Adjusted LPN Staffing Hours per Resident per Day
0.70276
Adjusted RN Staffing Hours per Resident per Day
1.30488
Adjusted Total Nurse Staffing Hours per Resident per Day
5.52226
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
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
2014-02-20
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
14.66700
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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