Alden Princeton Rehab & Hcc - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145688
Provider Name
ALDEN PRINCETON REHAB & HCC
Provider Address
255 WEST 69TH STREET
CHICAGO, IL 60621
Provider Phone Number
7732245900
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
225
Number of Residents in Certified Beds
169
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN-PRINCETON REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1990-09-07
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.26834
Reported LPN Staffing Hours per Resident per Day
0.43905
Reported RN Staffing Hours per Resident per Day
0.46420
Reported Licensed Staffing Hours per Resident per Day
0.90325
Reported Total Nurse Staffing Hours per Resident per Day
2.17159
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00710
Expected CNA Staffing Hours per Resident per Day
2.18863
Expected LPN Staffing Hours per Resident per Day
0.62635
Expected RN Staffing Hours per Resident per Day
0.95586
Expected Total Nurse Staffing Hours per Resident per Day
3.77084
Adjusted CNA Staffing Hours per Resident per Day
1.42195
Adjusted LPN Staffing Hours per Resident per Day
0.58180
Adjusted RN Staffing Hours per Resident per Day
0.36287
Adjusted Total Nurse Staffing Hours per Resident per Day
2.32136
Cycle 1 Total Number of Health Deficiencies
14
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
7
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2015-03-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
11
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
155
Cycle 2 Standard Health Survey Date
2014-05-29
Cycle 2 Number of Health Revisits
2
Cycle 2 Health Revisit Score
78
Cycle 2 Total Health Score
78
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
121.00000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
25
Number of Fines
1
Total Amount of Fines in Dollars
148395
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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