Warren Barr Lincolnshire - Lincolnshire Nursing Home
General Information
UPDATEFederal Provider Number
146028
Provider Name
WARREN BARR LINCOLNSHIRE
Provider Address
150 JAMESTOWN LANE
LINCOLNSHIRE, IL 60069
LINCOLNSHIRE, IL 60069
Provider Phone Number
(847) 883-9000
Provider SSA County
570
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
122
Number of Residents in Certified Beds
70
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WEALSHIRE LIMITED PARTNERSHIP
Date First Approved to Provide Medicare and Medicaid services
2002-05-01
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
2
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
3.29071
Reported LPN Staffing Hours per Resident per Day
1.38786
Reported RN Staffing Hours per Resident per Day
2.07357
Reported Licensed Staffing Hours per Resident per Day
3.46143
Reported Total Nurse Staffing Hours per Resident per Day
6.75214
Reported Physical Therapist Staffing Hours per Resident Per Day
0.16357
Expected CNA Staffing Hours per Resident per Day
2.56142
Expected LPN Staffing Hours per Resident per Day
0.70262
Expected RN Staffing Hours per Resident per Day
1.29161
Expected Total Nurse Staffing Hours per Resident per Day
4.55565
Adjusted CNA Staffing Hours per Resident per Day
3.15232
Adjusted LPN Staffing Hours per Resident per Day
1.63948
Adjusted RN Staffing Hours per Resident per Day
1.19956
Adjusted Total Nurse Staffing Hours per Resident per Day
5.97439
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
64
Cycle 1 Standard Survey Health Date
2015-03-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
64
Cycle 2 Total Number of Health Deficiencies
16
Cycle 2 Number of Standard Health Deficiencies
15
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-04-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-05-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
60.66700
Number of Facility Reported Incidents
0
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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