Alden Wentworth Rehab & Hcc - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145429
Provider Name
ALDEN WENTWORTH REHAB & HCC
Provider Address
201 WEST 69TH STREET
CHICAGO, IL 60621
Provider Phone Number
7734871200
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
300
Number of Residents in Certified Beds
210
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-WENTWORTH REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-09-03
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.74857
Reported LPN Staffing Hours per Resident per Day
0.56571
Reported RN Staffing Hours per Resident per Day
0.38714
Reported Licensed Staffing Hours per Resident per Day
0.95286
Reported Total Nurse Staffing Hours per Resident per Day
2.70142
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05452
Expected CNA Staffing Hours per Resident per Day
2.37823
Expected LPN Staffing Hours per Resident per Day
0.63117
Expected RN Staffing Hours per Resident per Day
0.95240
Expected Total Nurse Staffing Hours per Resident per Day
3.96180
Adjusted CNA Staffing Hours per Resident per Day
1.80406
Adjusted LPN Staffing Hours per Resident per Day
0.74392
Adjusted RN Staffing Hours per Resident per Day
0.30373
Adjusted Total Nurse Staffing Hours per Resident per Day
2.74854
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-05-27
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-06-28
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
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-05-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
62.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
21
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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