St Patrick's Residence - Naperville Nursing Home
General Information
UPDATEFederal Provider Number
145878
Provider Name
ST PATRICK'S RESIDENCE
Provider Address
1400 BROOKDALE ROAD
NAPERVILLE, IL 60563
NAPERVILLE, IL 60563
Provider Phone Number
6304166565
Provider SSA County
250
Provider County Name
Du Page
Ownership Type
Non profit - Church related
Number of Certified Beds
209
Number of Residents in Certified Beds
189
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ST PATRICK RESIDENCE
Date First Approved to Provide Medicare and Medicaid services
1996-06-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
4
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
2.57989
Reported LPN Staffing Hours per Resident per Day
0.48069
Reported RN Staffing Hours per Resident per Day
1.07434
Reported Licensed Staffing Hours per Resident per Day
1.55503
Reported Total Nurse Staffing Hours per Resident per Day
4.13492
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04921
Expected CNA Staffing Hours per Resident per Day
2.53716
Expected LPN Staffing Hours per Resident per Day
0.58882
Expected RN Staffing Hours per Resident per Day
0.81329
Expected Total Nurse Staffing Hours per Resident per Day
3.93926
Adjusted CNA Staffing Hours per Resident per Day
2.49503
Adjusted LPN Staffing Hours per Resident per Day
0.67758
Adjusted RN Staffing Hours per Resident per Day
0.98704
Adjusted Total Nurse Staffing Hours per Resident per Day
4.23111
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-30
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
0
Cycle 2 Number of Standard Health Deficiencies
0
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
0
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
0
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
18.00000
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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