Libertyville Manor Ext Care
Libertyville Manor Ext Care Information
| Facility Name | Libertyville Manor Ext Care |
| Location | 610 Peterson Road, Libertyville, IL 60048 |
| County (SSA Code) | Lake (570) |
| Phone Number | 847-367-6100 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 63 |
| Average Number of Residents | 25.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
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| Short Stay Quality Rating | |
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| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | LIBERTYVILLE MANOR EXTENDED CARE FACILITY, INC. |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1978-04-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 3.7678 |
| Reported LPN Staffing Hours per Resident per Day | 1.45733 |
| Reported RN Staffing - Hours per Resident per Day | 0.96645 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.42378 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.19157 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.36267 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.95304 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.65113 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.37543 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.9796 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.62502 |
| Total Weighted Health Survey Score for three cycles | 37.333 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-27 |
| Rating cycle 1 - Health Deficiency Score | 5 |
| Rating cycle 1 - Total Health Inspection Score | 44 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-01-16 |
| Rating cycle 2 - Health Deficiency Score | 44 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-14 |
| Rating cycle 3 - Health Deficiency Score | 40 |
| Rating cycle 3 - Total Health Inspection Score | 40 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 2 |
| Number of Substantiated Complaints | 2 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |