Buckingham Pavilion - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145285
Provider Name
BUCKINGHAM PAVILION
Provider Address
2625 WEST TOUHY AVENUE
CHICAGO, IL 60645
CHICAGO, IL 60645
Provider Phone Number
(773) 973-5333
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
235
Number of Residents in Certified Beds
96
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BUCKINGHAM PAVILION INC
Date First Approved to Provide Medicare and Medicaid services
1975-04-14
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
3
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
2.20000
Reported LPN Staffing Hours per Resident per Day
0.44271
Reported RN Staffing Hours per Resident per Day
0.72188
Reported Licensed Staffing Hours per Resident per Day
1.16458
Reported Total Nurse Staffing Hours per Resident per Day
3.36459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.06719
Expected CNA Staffing Hours per Resident per Day
2.36877
Expected LPN Staffing Hours per Resident per Day
0.57866
Expected RN Staffing Hours per Resident per Day
0.85371
Expected Total Nurse Staffing Hours per Resident per Day
3.80114
Adjusted CNA Staffing Hours per Resident per Day
2.27888
Adjusted LPN Staffing Hours per Resident per Day
0.63501
Adjusted RN Staffing Hours per Resident per Day
0.63182
Adjusted Total Nurse Staffing Hours per Resident per Day
3.56797
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
48
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
48
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
12
Cycle 2 Standard Health Survey Date
2014-01-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
12
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
30.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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