Birchwood Plaza - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145532
Provider Name
BIRCHWOOD PLAZA
Provider Address
1426 WEST BIRCHWOOD
CHICAGO, IL 60626
CHICAGO, IL 60626
Provider Phone Number
7732744405
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
168
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BIRCHWOOD PLAZA INC.
Date First Approved to Provide Medicare and Medicaid services
1985-12-01
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
5
Health Inspection Rating Footnote
QM Rating
2
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
1.47202
Reported LPN Staffing Hours per Resident per Day
0.15119
Reported RN Staffing Hours per Resident per Day
0.67083
Reported Licensed Staffing Hours per Resident per Day
0.82202
Reported Total Nurse Staffing Hours per Resident per Day
2.29404
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02679
Expected CNA Staffing Hours per Resident per Day
2.44205
Expected LPN Staffing Hours per Resident per Day
0.56910
Expected RN Staffing Hours per Resident per Day
0.88201
Expected Total Nurse Staffing Hours per Resident per Day
3.89316
Adjusted CNA Staffing Hours per Resident per Day
1.47904
Adjusted LPN Staffing Hours per Resident per Day
0.22050
Adjusted RN Staffing Hours per Resident per Day
0.56830
Adjusted Total Nurse Staffing Hours per Resident per Day
2.37520
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-02-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-04-10
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
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
12.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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