Westminster Place - Evanston Nursing Home
General Information
UPDATEFederal Provider Number
145026
Provider Name
WESTMINSTER PLACE
Provider Address
3200 GRANT STREET
EVANSTON, IL 60201
EVANSTON, IL 60201
Provider Phone Number
(847) 492-4800
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
105
Number of Residents in Certified Beds
89
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME
Date First Approved to Provide Medicare and Medicaid services
1967-02-03
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
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
2.97865
Reported LPN Staffing Hours per Resident per Day
0.08652
Reported RN Staffing Hours per Resident per Day
1.73034
Reported Licensed Staffing Hours per Resident per Day
1.81685
Reported Total Nurse Staffing Hours per Resident per Day
4.79551
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23427
Expected CNA Staffing Hours per Resident per Day
2.53743
Expected LPN Staffing Hours per Resident per Day
0.60398
Expected RN Staffing Hours per Resident per Day
0.97731
Expected Total Nurse Staffing Hours per Resident per Day
4.11872
Adjusted CNA Staffing Hours per Resident per Day
2.88036
Adjusted LPN Staffing Hours per Resident per Day
0.11890
Adjusted RN Staffing Hours per Resident per Day
1.32293
Adjusted Total Nurse Staffing Hours per Resident per Day
4.69326
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
28
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
28
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-08-24
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
19.33300
Number of Facility Reported Incidents
0
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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