Central Baptist Village - Norridge Nursing Home

General Information

UPDATE

Federal Provider Number

145853

Provider Name

CENTRAL BAPTIST VILLAGE

Provider Address

4747 NORTH CANFIELD AVENUE
NORRIDGE, IL 60656

Provider Phone Number

7085838500

Provider SSA County

141

Provider County Name

Cook

Ownership Type

Non profit - Church related

Number of Certified Beds

120

Number of Residents in Certified Beds

100

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

CENTRAL BAPTIST HOME FOR THE AGED

Date First Approved to Provide Medicare and Medicaid services

1996-01-01

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Both

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

3.09900

Reported LPN Staffing Hours per Resident per Day

0.47300

Reported RN Staffing Hours per Resident per Day

1.05250

Reported Licensed Staffing Hours per Resident per Day

1.52550

Reported Total Nurse Staffing Hours per Resident per Day

4.62450

Reported Physical Therapist Staffing Hours per Resident Per Day

0.05700

Expected CNA Staffing Hours per Resident per Day

2.64488

Expected LPN Staffing Hours per Resident per Day

0.57700

Expected RN Staffing Hours per Resident per Day

0.83081

Expected Total Nurse Staffing Hours per Resident per Day

4.05269

Adjusted CNA Staffing Hours per Resident per Day

2.87500

Adjusted LPN Staffing Hours per Resident per Day

0.68040

Adjusted RN Staffing Hours per Resident per Day

0.94658

Adjusted Total Nurse Staffing Hours per Resident per Day

4.59964

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2014-08-21

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-09-13

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2012-07-19

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

34.66700

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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Regency Rehabilitation Center

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Glen Saint Andrew Living Comm

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Norridge Gardens

7001 West Cullom | NORRIDGE IL 60634 | 2.7 miles away

Norridge Gardens is a 292 bed skilled nursing facility that provides a safe and comfortable environment for rehabilitation therapy, long-term care, memory care, cardiac care, hospice, and respite care. A professional team of physicians, certified nursing assistants, rehabilitation therapists, psychi