Chalet Living & Rehab Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145670
Provider Name
CHALET LIVING & REHAB CENTER
Provider Address
7350 NORTH SHERIDAN ROAD
CHICAGO, IL 60626
CHICAGO, IL 60626
Provider Phone Number
(773) 274-1000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
219
Number of Residents in Certified Beds
196
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CHALET LIVING AND REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1989-12-13
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.37577
Reported LPN Staffing Hours per Resident per Day
0.45561
Reported RN Staffing Hours per Resident per Day
0.47372
Reported Licensed Staffing Hours per Resident per Day
0.92934
Reported Total Nurse Staffing Hours per Resident per Day
2.30510
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02908
Expected CNA Staffing Hours per Resident per Day
2.86009
Expected LPN Staffing Hours per Resident per Day
0.65362
Expected RN Staffing Hours per Resident per Day
1.02371
Expected Total Nurse Staffing Hours per Resident per Day
4.53741
Adjusted CNA Staffing Hours per Resident per Day
1.18029
Adjusted LPN Staffing Hours per Resident per Day
0.57856
Adjusted RN Staffing Hours per Resident per Day
0.34577
Adjusted Total Nurse Staffing Hours per Resident per Day
2.04778
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-11-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
154
Cycle 2 Standard Health Survey Date
2014-01-31
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
154
Cycle 3 Total Number of Health Deficiencies
9
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2013-02-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
116.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
6
Number of Fines
1
Total Amount of Fines in Dollars
54113
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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