Illinois Nursing Homes >> South Holland Nursing Homes >> Villa At South Holland, The

Villa At South Holland, The - South Holland Nursing Home

General Information

UPDATE
Federal Provider Number
145671
Provider Name
VILLA AT SOUTH HOLLAND, THE
Provider Address
16300 WAUSAU STREET
SOUTH HOLLAND, IL 60473
Provider Phone Number
7085965500
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
171
Number of Residents in Certified Beds
107
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA AT SOUTH HOLLAND, LLC
Date First Approved to Provide Medicare and Medicaid services
1990-05-03
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
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
2.80701
Reported LPN Staffing Hours per Resident per Day
0.49112
Reported RN Staffing Hours per Resident per Day
1.23364
Reported Licensed Staffing Hours per Resident per Day
1.72477
Reported Total Nurse Staffing Hours per Resident per Day
4.53177
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22150
Expected CNA Staffing Hours per Resident per Day
2.59397
Expected LPN Staffing Hours per Resident per Day
0.69432
Expected RN Staffing Hours per Resident per Day
1.20530
Expected Total Nurse Staffing Hours per Resident per Day
4.49360
Adjusted CNA Staffing Hours per Resident per Day
2.65522
Adjusted LPN Staffing Hours per Resident per Day
0.58709
Adjusted RN Staffing Hours per Resident per Day
0.76477
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06514
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-09-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2013-08-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
29.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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