Avantara Park Ridge - Park Ridge Nursing Home

General Information

UPDATE
Federal Provider Number
145667
Provider Name
AVANTARA PARK RIDGE
Provider Address
1601 NORTH WESTERN AVENUE
PARK RIDGE, IL 60068
Provider Phone Number
(847) 825-5531
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
18
Number of Residents in Certified Beds
61
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVANTARA PARK RIDGE, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-10-31
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
Y
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
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.02295
Reported LPN Staffing Hours per Resident per Day
0.63770
Reported RN Staffing Hours per Resident per Day
2.40902
Reported Licensed Staffing Hours per Resident per Day
3.04672
Reported Total Nurse Staffing Hours per Resident per Day
7.06967
Reported Physical Therapist Staffing Hours per Resident Per Day
0.28115
Expected CNA Staffing Hours per Resident per Day
2.38083
Expected LPN Staffing Hours per Resident per Day
0.59298
Expected RN Staffing Hours per Resident per Day
0.96427
Expected Total Nurse Staffing Hours per Resident per Day
3.93808
Adjusted CNA Staffing Hours per Resident per Day
4.14608
Adjusted LPN Staffing Hours per Resident per Day
0.89259
Adjusted RN Staffing Hours per Resident per Day
1.86673
Adjusted Total Nurse Staffing Hours per Resident per Day
7.23631
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-06-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2013-04-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-05-24
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
26.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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