Waterfront Terrace - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145939
Provider Name
WATERFRONT TERRACE
Provider Address
7750 SOUTH SHORE DRIVE
CHICAGO, IL 60649
CHICAGO, IL 60649
Provider Phone Number
7737314200
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WATERFRONT TERRACE, INC.
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.45914
Reported LPN Staffing Hours per Resident per Day
0.63602
Reported RN Staffing Hours per Resident per Day
0.64462
Reported Licensed Staffing Hours per Resident per Day
1.28065
Reported Total Nurse Staffing Hours per Resident per Day
2.73978
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06129
Expected CNA Staffing Hours per Resident per Day
2.27482
Expected LPN Staffing Hours per Resident per Day
0.60515
Expected RN Staffing Hours per Resident per Day
0.91450
Expected Total Nurse Staffing Hours per Resident per Day
3.79448
Adjusted CNA Staffing Hours per Resident per Day
1.57388
Adjusted LPN Staffing Hours per Resident per Day
0.87234
Adjusted RN Staffing Hours per Resident per Day
0.52669
Adjusted Total Nurse Staffing Hours per Resident per Day
2.91049
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
80
Cycle 1 Standard Survey Health Date
2015-01-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
80
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2014-03-06
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
27
Cycle 3 Number of Standard Health Deficiencies
18
Cycle 3 Number of Complaint Health Deficiencies
9
Cycle 3 Health Deficiency Score
240
Cycle 3 Standard Health Survey Date
2013-04-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
240
Total Weighted Health Survey Score
110.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
31
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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