Cedar Pointe Rehab & Nursing - Cicero Nursing Home
General Information
UPDATEFederal Provider Number
145850
Provider Name
CEDAR POINTE REHAB & NURSING
Provider Address
5825 WEST CERMAK ROAD
CICERO, IL 60804
CICERO, IL 60804
Provider Phone Number
(708) 656-9120
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
485
Number of Residents in Certified Beds
276
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CEDAR POINTE REHAB & NURSING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1995-12-01
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
3
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.02736
Reported LPN Staffing Hours per Resident per Day
0.50109
Reported RN Staffing Hours per Resident per Day
0.46522
Reported Licensed Staffing Hours per Resident per Day
0.96630
Reported Total Nurse Staffing Hours per Resident per Day
1.99367
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03243
Expected CNA Staffing Hours per Resident per Day
1.84288
Expected LPN Staffing Hours per Resident per Day
0.52878
Expected RN Staffing Hours per Resident per Day
0.80785
Expected Total Nurse Staffing Hours per Resident per Day
3.17951
Adjusted CNA Staffing Hours per Resident per Day
1.36788
Adjusted LPN Staffing Hours per Resident per Day
0.78654
Adjusted RN Staffing Hours per Resident per Day
0.43029
Adjusted Total Nurse Staffing Hours per Resident per Day
2.52752
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
213
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
213
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
10
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
88
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
88
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
245
Cycle 3 Standard Health Survey Date
2012-09-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
245
Total Weighted Health Survey Score
176.66700
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
60905
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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