Brentwood Sub-acute Healthcare Center - Burbank Nursing Home

General Information

UPDATE
Federal Provider Number
145211
Provider Name
BRENTWOOD SUB-ACUTE HEALTHCARE CENTER
Provider Address
5400 WEST 87TH STREET
BURBANK, IL 60459
Provider Phone Number
(708) 423-1200
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
163
Number of Residents in Certified Beds
62
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BRENTWOOD OPERATING COMPANY LLC
Date First Approved to Provide Medicare and Medicaid services
1969-08-25
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
2.94194
Reported LPN Staffing Hours per Resident per Day
1.71532
Reported RN Staffing Hours per Resident per Day
2.01452
Reported Licensed Staffing Hours per Resident per Day
3.72984
Reported Total Nurse Staffing Hours per Resident per Day
6.67178
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37177
Expected CNA Staffing Hours per Resident per Day
2.50462
Expected LPN Staffing Hours per Resident per Day
0.85262
Expected RN Staffing Hours per Resident per Day
1.67552
Expected Total Nurse Staffing Hours per Resident per Day
5.03275
Adjusted CNA Staffing Hours per Resident per Day
2.88213
Adjusted LPN Staffing Hours per Resident per Day
1.66982
Adjusted RN Staffing Hours per Resident per Day
0.89838
Adjusted Total Nurse Staffing Hours per Resident per Day
5.34365
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2014-08-29
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
8
Cycle 2 Health Deficiency Score
112
Cycle 2 Standard Health Survey Date
2013-07-26
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
112
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
69.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
34
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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