Bria Of Palos Hills - Palos Hills Nursing Home
General Information
UPDATEFederal Provider Number
145650
Provider Name
BRIA OF PALOS HILLS
Provider Address
10426 SOUTH ROBERTS
PALOS HILLS, IL 60465
PALOS HILLS, IL 60465
Provider Phone Number
(708) 598-3460
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
177
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PALOS HILLS HEALTHCARE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-08-24
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
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.25840
Reported LPN Staffing Hours per Resident per Day
0.31600
Reported RN Staffing Hours per Resident per Day
0.81360
Reported Licensed Staffing Hours per Resident per Day
1.12960
Reported Total Nurse Staffing Hours per Resident per Day
3.38800
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06840
Expected CNA Staffing Hours per Resident per Day
2.36120
Expected LPN Staffing Hours per Resident per Day
0.62095
Expected RN Staffing Hours per Resident per Day
0.99457
Expected Total Nurse Staffing Hours per Resident per Day
3.97672
Adjusted CNA Staffing Hours per Resident per Day
2.34687
Adjusted LPN Staffing Hours per Resident per Day
0.42238
Adjusted RN Staffing Hours per Resident per Day
0.61124
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43416
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-09-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
29
Cycle 2 Number of Standard Health Deficiencies
21
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
196
Cycle 2 Standard Health Survey Date
2013-08-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
196
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
100
Cycle 3 Standard Health Survey Date
2012-07-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
100
Total Weighted Health Survey Score
144.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
43
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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