Glenshire Nursing & Rehab Ctre - Richton Park Nursing Home
General Information
UPDATEFederal Provider Number
145424
Provider Name
GLENSHIRE NURSING & REHAB CTRE
Provider Address
22660 SOUTH CICERO AVENUE
RICHTON PARK, IL 60471
RICHTON PARK, IL 60471
Provider Phone Number
7087476120
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
294
Number of Residents in Certified Beds
184
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GLEN SHIRE NURSING & REHABILITATION CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1981-04-16
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92554
Reported LPN Staffing Hours per Resident per Day
0.31060
Reported RN Staffing Hours per Resident per Day
1.58397
Reported Licensed Staffing Hours per Resident per Day
1.89457
Reported Total Nurse Staffing Hours per Resident per Day
3.82011
Reported Physical Therapist Staffing Hours per Resident Per Day
0.12418
Expected CNA Staffing Hours per Resident per Day
2.38114
Expected LPN Staffing Hours per Resident per Day
0.79642
Expected RN Staffing Hours per Resident per Day
1.25837
Expected Total Nurse Staffing Hours per Resident per Day
4.43593
Adjusted CNA Staffing Hours per Resident per Day
1.98422
Adjusted LPN Staffing Hours per Resident per Day
0.32370
Adjusted RN Staffing Hours per Resident per Day
0.94054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47131
Cycle 1 Total Number of Health Deficiencies
34
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
21
Cycle 1 Health Deficiency Score
192
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
192
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-02-06
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
29
Cycle 3 Number of Standard Health Deficiencies
14
Cycle 3 Number of Complaint Health Deficiencies
21
Cycle 3 Health Deficiency Score
370
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
2
Cycle 3 Health Revisit Score
185
Cycle 3 Total Health Score
555
Total Weighted Health Survey Score
221.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
68
Number of Fines
5
Total Amount of Fines in Dollars
9519
Number of Payment Denials
2
Total Number of Penalties
7
Location
Processing Date
2015-06-01
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