All American Nursing Home - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
14A057
Provider Name
ALL AMERICAN NURSING HOME
Provider Address
5448 NORTH BROADWAY STREET
CHICAGO, IL 60640
CHICAGO, IL 60640
Provider Phone Number
(773) 334-2224
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
144
Number of Residents in Certified Beds
126
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1974-09-01
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
1
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
1.10754
Reported LPN Staffing Hours per Resident per Day
0.45238
Reported RN Staffing Hours per Resident per Day
0.25556
Reported Licensed Staffing Hours per Resident per Day
0.70794
Reported Total Nurse Staffing Hours per Resident per Day
1.81548
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00913
Expected CNA Staffing Hours per Resident per Day
1.89699
Expected LPN Staffing Hours per Resident per Day
0.49460
Expected RN Staffing Hours per Resident per Day
0.65568
Expected Total Nurse Staffing Hours per Resident per Day
3.04728
Adjusted CNA Staffing Hours per Resident per Day
1.43257
Adjusted LPN Staffing Hours per Resident per Day
0.75915
Adjusted RN Staffing Hours per Resident per Day
0.29123
Adjusted Total Nurse Staffing Hours per Resident per Day
2.40150
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-12-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
151
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
151
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
2013-02-01
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
88.33300
Number of Facility Reported Incidents
0
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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