Waterford Nursing & Rehab, The - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145659
Provider Name
WATERFORD NURSING & REHAB, THE
Provider Address
7445 N. SHERIDAN ROAD
CHICAGO, IL 60626
CHICAGO, IL 60626
Provider Phone Number
7733383300
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
141
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERFORD NURSING & REHABILITATION CENTER INC
Date First Approved to Provide Medicare and Medicaid services
1989-10-20
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.49553
Reported LPN Staffing Hours per Resident per Day
0.34268
Reported RN Staffing Hours per Resident per Day
0.49553
Reported Licensed Staffing Hours per Resident per Day
0.83821
Reported Total Nurse Staffing Hours per Resident per Day
2.33374
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09309
Expected CNA Staffing Hours per Resident per Day
2.15288
Expected LPN Staffing Hours per Resident per Day
0.61610
Expected RN Staffing Hours per Resident per Day
0.89673
Expected Total Nurse Staffing Hours per Resident per Day
3.66570
Adjusted CNA Staffing Hours per Resident per Day
1.70450
Adjusted LPN Staffing Hours per Resident per Day
0.46165
Adjusted RN Staffing Hours per Resident per Day
0.41290
Adjusted Total Nurse Staffing Hours per Resident per Day
2.56624
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
24
Cycle 1 Standard Survey Health Date
2015-01-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
28
Cycle 2 Standard Health Survey Date
2014-03-13
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
5
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
60
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
60
Total Weighted Health Survey Score
31.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
7
Number of Fines
1
Total Amount of Fines in Dollars
130780
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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