Terrace Nursing Home,the - Waukegan Nursing Home
General Information
UPDATEFederal Provider Number
146159
Provider Name
TERRACE NURSING HOME,THE
Provider Address
1615 SUNSET AVENUE
WAUKEGAN, IL 60087
WAUKEGAN, IL 60087
Provider Phone Number
(847) 244-6700
Provider SSA County
570
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
115
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
TN CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2013-04-15
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
4
QM Rating Footnote
Staffing Rating
3
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
2.06774
Reported LPN Staffing Hours per Resident per Day
0.38118
Reported RN Staffing Hours per Resident per Day
0.97688
Reported Licensed Staffing Hours per Resident per Day
1.35806
Reported Total Nurse Staffing Hours per Resident per Day
3.42580
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07849
Expected CNA Staffing Hours per Resident per Day
2.62361
Expected LPN Staffing Hours per Resident per Day
0.66482
Expected RN Staffing Hours per Resident per Day
1.01322
Expected Total Nurse Staffing Hours per Resident per Day
4.30166
Adjusted CNA Staffing Hours per Resident per Day
1.93383
Adjusted LPN Staffing Hours per Resident per Day
0.47589
Adjusted RN Staffing Hours per Resident per Day
0.72040
Adjusted Total Nurse Staffing Hours per Resident per Day
3.21017
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
48
Cycle 1 Standard Survey Health Date
2014-03-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
48
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
33.60000
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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