Hearthstone Manor
Hearthstone Manor Information
| Facility Name | Hearthstone Manor |
| Location | 920 N Seminary Ave P O Box 520, Woodstock, IL 60098 |
| County (SSA Code) | Mc Henry (640) |
| Phone Number | 815-338-1749 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 73 |
| Average Number of Residents | 64.1 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | WOODSTOCK CHRISTIAN LIFE SERVICES |
| Ownership Type | Non profit - Corporation |
| Date First Approved | 2002-07-17 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.4952 |
| Reported LPN Staffing Hours per Resident per Day | 0.42131 |
| Reported RN Staffing - Hours per Resident per Day | 1.16766 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.58897 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.08417 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.06169 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.13147 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.73489 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.36986 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.23622 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.03839 |
| Total Weighted Health Survey Score for three cycles | 55.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-12 |
| Rating cycle 1 - Health Deficiency Score | 12 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-20 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-10 |
| Rating cycle 3 - Health Deficiency Score | 88 |
| Rating cycle 3 - Total Health Inspection Score | 88 |
| Number of Facility-Reported Incidents | 2 |
| Number of Substantiated Complaints | 3 |
| Number of Substantiated Complaints | 3 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |