Alden Town Manor Rehab & Hcc - Cicero Nursing Home
General Information
UPDATEFederal Provider Number
145736
Provider Name
ALDEN TOWN MANOR REHAB & HCC
Provider Address
6120 WEST OGDEN
CICERO, IL 60804
CICERO, IL 60804
Provider Phone Number
(708) 863-0500
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
237
Number of Residents in Certified Beds
191
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ALDEN TOWN MANOR REHABILITATION AND HEALTH CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1992-09-16
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
1.43377
Reported LPN Staffing Hours per Resident per Day
0.63482
Reported RN Staffing Hours per Resident per Day
0.47775
Reported Licensed Staffing Hours per Resident per Day
1.11257
Reported Total Nurse Staffing Hours per Resident per Day
2.54634
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06466
Expected CNA Staffing Hours per Resident per Day
2.44076
Expected LPN Staffing Hours per Resident per Day
0.66670
Expected RN Staffing Hours per Resident per Day
0.99683
Expected Total Nurse Staffing Hours per Resident per Day
4.10429
Adjusted CNA Staffing Hours per Resident per Day
1.44137
Adjusted LPN Staffing Hours per Resident per Day
0.79031
Adjusted RN Staffing Hours per Resident per Day
0.35811
Adjusted Total Nurse Staffing Hours per Resident per Day
2.50081
Cycle 1 Total Number of Health Deficiencies
20
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
15
Cycle 1 Health Deficiency Score
112
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
112
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
20
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
20
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
5
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-03-29
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
24
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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