Westminster Village - Bloomington Nursing Home
General Information
UPDATEFederal Provider Number
145400
Provider Name
WESTMINSTER VILLAGE
Provider Address
2025 EAST LINCOLN STREET
BLOOMINGTON, IL 61701
BLOOMINGTON, IL 61701
Provider Phone Number
(309) 663-6474
Provider SSA County
650
Provider County Name
Mc Lean
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
39
Number of Residents in Certified Beds
32
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WESTMINSTER VILLAGE INC
Date First Approved to Provide Medicare and Medicaid services
1985-08-01
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
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
2.73281
Reported LPN Staffing Hours per Resident per Day
0.50938
Reported RN Staffing Hours per Resident per Day
1.69375
Reported Licensed Staffing Hours per Resident per Day
2.20313
Reported Total Nurse Staffing Hours per Resident per Day
4.93594
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02656
Expected CNA Staffing Hours per Resident per Day
2.24914
Expected LPN Staffing Hours per Resident per Day
0.60581
Expected RN Staffing Hours per Resident per Day
1.15427
Expected Total Nurse Staffing Hours per Resident per Day
4.00922
Adjusted CNA Staffing Hours per Resident per Day
2.98136
Adjusted LPN Staffing Hours per Resident per Day
0.69788
Adjusted RN Staffing Hours per Resident per Day
1.09642
Adjusted Total Nurse Staffing Hours per Resident per Day
4.96263
Cycle 1 Total Number of Health Deficiencies
11
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
68
Cycle 1 Standard Survey Health Date
2015-02-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
68
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
36
Cycle 2 Standard Health Survey Date
2014-03-19
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
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-04-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
50.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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