Cambridge Nursing & Rehab Center - Skokie Nursing Home
General Information
UPDATEFederal Provider Number
145468
Provider Name
CAMBRIDGE NURSING & REHAB CENTER
Provider Address
9615 NORTH KNOX AVENUE
SKOKIE, IL 60076
SKOKIE, IL 60076
Provider Phone Number
(847) 679-4161
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
113
Number of Residents in Certified Beds
99
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SKOKIE MEADOWS NURSING CENTERS II,LLC
Date First Approved to Provide Medicare and Medicaid services
1983-08-10
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.11263
Reported LPN Staffing Hours per Resident per Day
0.20202
Reported RN Staffing Hours per Resident per Day
1.13131
Reported Licensed Staffing Hours per Resident per Day
1.33333
Reported Total Nurse Staffing Hours per Resident per Day
3.44596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09242
Expected CNA Staffing Hours per Resident per Day
2.68443
Expected LPN Staffing Hours per Resident per Day
0.64104
Expected RN Staffing Hours per Resident per Day
0.98827
Expected Total Nurse Staffing Hours per Resident per Day
4.31375
Adjusted CNA Staffing Hours per Resident per Day
1.93104
Adjusted LPN Staffing Hours per Resident per Day
0.26157
Adjusted RN Staffing Hours per Resident per Day
0.85534
Adjusted Total Nurse Staffing Hours per Resident per Day
3.22001
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-11-07
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2014-01-17
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
12
Cycle 3 Standard Health Survey Date
2012-12-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
17.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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