Whitehall North, The - Deerfield Nursing Home
General Information
UPDATEFederal Provider Number
145706
Provider Name
WHITEHALL NORTH, THE
Provider Address
300 WAUKEGAN ROAD
DEERFIELD, IL 60015
DEERFIELD, IL 60015
Provider Phone Number
8479454600
Provider SSA County
570
Provider County Name
Lake
Ownership Type
For profit - Corporation
Number of Certified Beds
190
Number of Residents in Certified Beds
145
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
WHITEHALL NORTH, L.L.C.
Date First Approved to Provide Medicare and Medicaid services
1991-12-01
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
4
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
3.24138
Reported LPN Staffing Hours per Resident per Day
0.35207
Reported RN Staffing Hours per Resident per Day
1.71276
Reported Licensed Staffing Hours per Resident per Day
2.06483
Reported Total Nurse Staffing Hours per Resident per Day
5.30621
Reported Physical Therapist Staffing Hours per Resident Per Day
0.56621
Expected CNA Staffing Hours per Resident per Day
2.59212
Expected LPN Staffing Hours per Resident per Day
0.76047
Expected RN Staffing Hours per Resident per Day
1.44448
Expected Total Nurse Staffing Hours per Resident per Day
4.79707
Adjusted CNA Staffing Hours per Resident per Day
3.06828
Adjusted LPN Staffing Hours per Resident per Day
0.38426
Adjusted RN Staffing Hours per Resident per Day
0.88598
Adjusted Total Nurse Staffing Hours per Resident per Day
4.45872
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
16
Cycle 1 Standard Survey Health Date
2014-09-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-10-31
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
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
16.00000
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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