Carlton At The Lake, The - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145679
Provider Name
CARLTON AT THE LAKE, THE
Provider Address
725 WEST MONTROSE AVENUE
CHICAGO, IL 60613
CHICAGO, IL 60613
Provider Phone Number
(773) 929-1700
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
244
Number of Residents in Certified Beds
217
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CARLTON AT THE LAKE INC
Date First Approved to Provide Medicare and Medicaid services
1990-06-13
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
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.44240
Reported LPN Staffing Hours per Resident per Day
0.55300
Reported RN Staffing Hours per Resident per Day
1.60599
Reported Licensed Staffing Hours per Resident per Day
2.15899
Reported Total Nurse Staffing Hours per Resident per Day
4.60139
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13157
Expected CNA Staffing Hours per Resident per Day
2.28874
Expected LPN Staffing Hours per Resident per Day
0.62486
Expected RN Staffing Hours per Resident per Day
0.94363
Expected Total Nurse Staffing Hours per Resident per Day
3.85723
Adjusted CNA Staffing Hours per Resident per Day
2.61843
Adjusted LPN Staffing Hours per Resident per Day
0.73455
Adjusted RN Staffing Hours per Resident per Day
1.27168
Adjusted Total Nurse Staffing Hours per Resident per Day
4.80856
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2015-03-05
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
8
Cycle 2 Standard Health Survey Date
2014-05-09
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2013-04-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
5.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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