Wood Glen Nursing & Rehab Ctr - West Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145830
Provider Name
WOOD GLEN NURSING & REHAB CTR
Provider Address
30 WEST 300 NORTH AVENUE
WEST CHICAGO, IL 60185
WEST CHICAGO, IL 60185
Provider Phone Number
6308768100
Provider SSA County
250
Provider County Name
Du Page
Ownership Type
For profit - Individual
Number of Certified Beds
213
Number of Residents in Certified Beds
211
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WOOD GLEN PAVILION, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-03-30
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.95142
Reported LPN Staffing Hours per Resident per Day
0.23507
Reported RN Staffing Hours per Resident per Day
0.33104
Reported Licensed Staffing Hours per Resident per Day
0.56611
Reported Total Nurse Staffing Hours per Resident per Day
1.51753
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00403
Expected CNA Staffing Hours per Resident per Day
1.63085
Expected LPN Staffing Hours per Resident per Day
0.50228
Expected RN Staffing Hours per Resident per Day
0.65657
Expected Total Nurse Staffing Hours per Resident per Day
2.78969
Adjusted CNA Staffing Hours per Resident per Day
1.43147
Adjusted LPN Staffing Hours per Resident per Day
0.38844
Adjusted RN Staffing Hours per Resident per Day
0.37674
Adjusted Total Nurse Staffing Hours per Resident per Day
2.19272
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-11-20
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
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-12-27
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
54.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
3
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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