Westchester Health & Rehabilitation - Westchester Nursing Home

General Information

UPDATE
Federal Provider Number
145660
Provider Name
WESTCHESTER HEALTH & REHABILITATION
Provider Address
2901 SOUTH WOLF ROAD
WESTCHESTER, IL 60154
Provider Phone Number
7085311441
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
120
Number of Residents in Certified Beds
117
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SSC WESTCHESTER OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1989-11-24
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67949
Reported LPN Staffing Hours per Resident per Day
0.75940
Reported RN Staffing Hours per Resident per Day
0.39915
Reported Licensed Staffing Hours per Resident per Day
1.15855
Reported Total Nurse Staffing Hours per Resident per Day
2.83804
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05726
Expected CNA Staffing Hours per Resident per Day
2.45634
Expected LPN Staffing Hours per Resident per Day
0.64410
Expected RN Staffing Hours per Resident per Day
1.08891
Expected Total Nurse Staffing Hours per Resident per Day
4.18936
Adjusted CNA Staffing Hours per Resident per Day
1.67768
Adjusted LPN Staffing Hours per Resident per Day
0.97857
Adjusted RN Staffing Hours per Resident per Day
0.27389
Adjusted Total Nurse Staffing Hours per Resident per Day
2.73069
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-05-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-07-12
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
10
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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