Tri-state Village Nrsg & Rhb
Tri-state Village Nrsg & Rhb Information
| Facility Name | Tri-state Village Nrsg & Rhb |
| Location | 2500 East 175th Street, Lansing, IL 60438 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-474-7330 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 84 |
| Average Number of Residents | 65.6 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | TRI-STATE VILLAGE NURSING AND REHABILITATION CENTER LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1996-05-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.69942 |
| Reported LPN Staffing Hours per Resident per Day | 1.18016 |
| Reported RN Staffing - Hours per Resident per Day | 0.32155 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.50172 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.20114 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0531 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.38866 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.83328 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.53941 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.76135 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.71334 |
| Total Weighted Health Survey Score for three cycles | 92 |
| Rating cycle 1 Standard Survey Health Date | 2019-04-11 |
| Rating cycle 1 - Health Deficiency Score | 20 |
| Rating cycle 1 - Total Health Inspection Score | 44 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-04 |
| Rating cycle 2 - Health Deficiency Score | 44 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-06-14 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 16 |
| Number of Substantiated Complaints | 16 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |