Tabor Hills Health Care Fac - Naperville Nursing Home
General Information
UPDATEFederal Provider Number
145840
Provider Name
TABOR HILLS HEALTH CARE FAC
Provider Address
1347 CRYSTAL COURT
NAPERVILLE, IL 60563
NAPERVILLE, IL 60563
Provider Phone Number
(630) 778-6677
Provider SSA County
250
Provider County Name
Du Page
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
112
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TABOR HILLS HEALTHCARE FACILITY, INC
Date First Approved to Provide Medicare and Medicaid services
1995-05-25
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
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
4.25112
Reported LPN Staffing Hours per Resident per Day
0.69775
Reported RN Staffing Hours per Resident per Day
2.97135
Reported Licensed Staffing Hours per Resident per Day
3.66910
Reported Total Nurse Staffing Hours per Resident per Day
7.92022
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13090
Expected CNA Staffing Hours per Resident per Day
2.64889
Expected LPN Staffing Hours per Resident per Day
0.59126
Expected RN Staffing Hours per Resident per Day
0.86679
Expected Total Nurse Staffing Hours per Resident per Day
4.10694
Adjusted CNA Staffing Hours per Resident per Day
3.93787
Adjusted LPN Staffing Hours per Resident per Day
0.97948
Adjusted RN Staffing Hours per Resident per Day
2.56140
Adjusted Total Nurse Staffing Hours per Resident per Day
7.77358
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2015-02-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
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
24
Cycle 2 Standard Health Survey Date
2014-04-01
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
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
2013-05-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
22.00000
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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