Wauconda Healthcare And Rehab - Wauconda Nursing Home
General Information
UPDATEFederal Provider Number
145887
Provider Name
WAUCONDA HEALTHCARE AND REHAB
Provider Address
176 THOMAS COURT
WAUCONDA, IL 60084
WAUCONDA, IL 60084
Provider Phone Number
(847) 526-5551
Provider SSA County
570
Provider County Name
Lake
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
135
Number of Residents in Certified Beds
92
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WAUCONDA HEALTHCARE & REHABILITATION CENTRE, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
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
5
Overall Rating Footnote
Health Inspection Rating
3
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
3.42880
Reported LPN Staffing Hours per Resident per Day
0.56630
Reported RN Staffing Hours per Resident per Day
1.12391
Reported Licensed Staffing Hours per Resident per Day
1.69022
Reported Total Nurse Staffing Hours per Resident per Day
5.11901
Reported Physical Therapist Staffing Hours per Resident Per Day
0.20815
Expected CNA Staffing Hours per Resident per Day
2.62905
Expected LPN Staffing Hours per Resident per Day
0.69340
Expected RN Staffing Hours per Resident per Day
1.18004
Expected Total Nurse Staffing Hours per Resident per Day
4.50249
Adjusted CNA Staffing Hours per Resident per Day
3.20011
Adjusted LPN Staffing Hours per Resident per Day
0.67786
Adjusted RN Staffing Hours per Resident per Day
0.71166
Adjusted Total Nurse Staffing Hours per Resident per Day
4.58285
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-07-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-09-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
48
Cycle 3 Standard Health Survey Date
2012-08-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
48
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
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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