Alden Northmoor Rehab & Hcc - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145888
Provider Name
ALDEN NORTHMOOR REHAB & HCC
Provider Address
5831 NORTH NORTHWEST HIGHWAY
CHICAGO, IL 60631
CHICAGO, IL 60631
Provider Phone Number
7737758080
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
198
Number of Residents in Certified Beds
165
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-NORTHMOOR REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-07-08
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
4
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
1.80242
Reported LPN Staffing Hours per Resident per Day
0.55061
Reported RN Staffing Hours per Resident per Day
0.83000
Reported Licensed Staffing Hours per Resident per Day
1.38061
Reported Total Nurse Staffing Hours per Resident per Day
3.18303
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00424
Expected CNA Staffing Hours per Resident per Day
2.67692
Expected LPN Staffing Hours per Resident per Day
0.63130
Expected RN Staffing Hours per Resident per Day
0.94314
Expected Total Nurse Staffing Hours per Resident per Day
4.25135
Adjusted CNA Staffing Hours per Resident per Day
1.65212
Adjusted LPN Staffing Hours per Resident per Day
0.72391
Adjusted RN Staffing Hours per Resident per Day
0.65757
Adjusted Total Nurse Staffing Hours per Resident per Day
3.01797
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-13
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
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2013-12-06
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
2
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2013-01-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
15.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
5
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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