Vi At The Glen - Glenview Nursing Home
General Information
UPDATEFederal Provider Number
146107
Provider Name
VI AT THE GLEN
Provider Address
2401 INDIGO LANE
GLENVIEW, IL 60026
GLENVIEW, IL 60026
Provider Phone Number
(847) 904-4700
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
38
Number of Residents in Certified Beds
34
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CC LAKE INC
Date First Approved to Provide Medicare and Medicaid services
2006-11-08
Continuing Care Retirement Community
Y
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
2.85441
Reported LPN Staffing Hours per Resident per Day
0.16765
Reported RN Staffing Hours per Resident per Day
1.73382
Reported Licensed Staffing Hours per Resident per Day
1.90147
Reported Total Nurse Staffing Hours per Resident per Day
4.75588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21029
Expected CNA Staffing Hours per Resident per Day
2.70713
Expected LPN Staffing Hours per Resident per Day
0.66330
Expected RN Staffing Hours per Resident per Day
0.93281
Expected Total Nurse Staffing Hours per Resident per Day
4.30324
Adjusted CNA Staffing Hours per Resident per Day
2.58719
Adjusted LPN Staffing Hours per Resident per Day
0.20978
Adjusted RN Staffing Hours per Resident per Day
1.38883
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45490
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-06-27
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
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-10
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
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
2012-08-22
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
22.66700
Number of Facility Reported Incidents
2
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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