Renaissance Park South - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145764
Provider Name
RENAISSANCE PARK SOUTH
Provider Address
10935 SOUTH HALSTED STREET
CHICAGO, IL 60628
Provider Phone Number
7739282000
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
294
Number of Residents in Certified Beds
237
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE RENAISSANCE AT HALSTED, LLC
Date First Approved to Provide Medicare and Medicaid services
1993-09-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
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
1.88481
Reported LPN Staffing Hours per Resident per Day
0.82700
Reported RN Staffing Hours per Resident per Day
0.44620
Reported Licensed Staffing Hours per Resident per Day
1.27321
Reported Total Nurse Staffing Hours per Resident per Day
3.15801
Reported Physical Therapist Staffing Hours per Resident Per Day
0.08502
Expected CNA Staffing Hours per Resident per Day
2.46467
Expected LPN Staffing Hours per Resident per Day
0.64176
Expected RN Staffing Hours per Resident per Day
1.03725
Expected Total Nurse Staffing Hours per Resident per Day
4.14368
Adjusted CNA Staffing Hours per Resident per Day
1.87642
Adjusted LPN Staffing Hours per Resident per Day
1.06958
Adjusted RN Staffing Hours per Resident per Day
0.32143
Adjusted Total Nurse Staffing Hours per Resident per Day
3.07206
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-04-10
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
76
Cycle 2 Standard Health Survey Date
2014-05-08
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
15
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2013-06-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
35
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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