Balmoral Home - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145796
Provider Name
BALMORAL HOME
Provider Address
2055 WEST BALMORAL AVENUE
CHICAGO, IL 60625
CHICAGO, IL 60625
Provider Phone Number
7735618661
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
213
Number of Residents in Certified Beds
201
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BALMORAL HOME INC
Date First Approved to Provide Medicare and Medicaid services
1994-07-01
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.62761
Reported LPN Staffing Hours per Resident per Day
0.14204
Reported RN Staffing Hours per Resident per Day
0.58980
Reported Licensed Staffing Hours per Resident per Day
0.73184
Reported Total Nurse Staffing Hours per Resident per Day
2.35945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02836
Expected CNA Staffing Hours per Resident per Day
1.88735
Expected LPN Staffing Hours per Resident per Day
0.54428
Expected RN Staffing Hours per Resident per Day
0.78216
Expected Total Nurse Staffing Hours per Resident per Day
3.21379
Adjusted CNA Staffing Hours per Resident per Day
2.11602
Adjusted LPN Staffing Hours per Resident per Day
0.21660
Adjusted RN Staffing Hours per Resident per Day
0.56344
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95934
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-01-16
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-03-14
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
8
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-03-01
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
21.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
5
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
Nursiong Homes Nearby
Continental Nursing & Rehab Center
5336 North Western Avenue |
CHICAGO IL 60625 | 0.4 mile away
Wesley Place
1415 West Foster Avenue |
CHICAGO IL 60640 | 0.9 mile away
Park View Rehab Center
5888 North Ridge |
CHICAGO IL 60660 | 0.9 mile away
Swedish Covenant Hospital
5145 North California |
CHICAGO IL 60625 | 1 mile away
Foster Health & Rehab Center
2840 West Foster Avenue |
CHICAGO IL 60625 | 1 mile away
All American Nursing Home
5448 North Broadway Street |
CHICAGO IL 60640 | 1.1 miles away
Bryn Mawr Care
5547 North Kenmore |
CHICAGO IL 60640 | 1.3 miles away
Brightview Healthcare & Rehab
4538 North Beacon |
CHICAGO IL 60640 | 1.4 miles away
Ridgeview Rehab & Nursing Center
6450 North Ridge Blvd |
CHICAGO IL 60626 | 1.4 miles away
Mid America Care Center
4920 North Kenmore |
CHICAGO IL 60640 | 1.4 miles away
Admiral At The Lake, The
933 West Foster Avenue |
CHICAGO IL 60640 | 1.4 miles away
Sheridan Shores Cr & Rehab Ctr
5838 North Sheridan Road |
CHICAGO IL 60660 | 1.5 miles away
St Martha Manor
4621 North Racine Avenue |
CHICAGO IL 60640 | 1.5 miles away
Astoria Place Living & Rehab
6300 North California Avenue |
CHICAGO IL 60659 | 1.5 miles away
Selfhelp Home Of Chicago
908 West Argyle Street |
CHICAGO IL 60640 | 1.5 miles away
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