Chicago Ridge Nursing Center - Chicago Ridge Nursing Home
General Information
UPDATEFederal Provider Number
145639
Provider Name
CHICAGO RIDGE NURSING CENTER
Provider Address
10602 SOUTHWEST HIGHWAY
CHICAGO RIDGE, IL 60415
CHICAGO RIDGE, IL 60415
Provider Phone Number
(708) 448-1540
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
231
Number of Residents in Certified Beds
216
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BM OF CHICAGO RIDGE LLC
Date First Approved to Provide Medicare and Medicaid services
1989-03-30
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
3
Overall Rating Footnote
Health Inspection Rating
2
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
1.00602
Reported LPN Staffing Hours per Resident per Day
0.19653
Reported RN Staffing Hours per Resident per Day
0.85093
Reported Licensed Staffing Hours per Resident per Day
1.04745
Reported Total Nurse Staffing Hours per Resident per Day
2.05348
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00532
Expected CNA Staffing Hours per Resident per Day
1.97935
Expected LPN Staffing Hours per Resident per Day
0.56010
Expected RN Staffing Hours per Resident per Day
0.79257
Expected Total Nurse Staffing Hours per Resident per Day
3.33202
Adjusted CNA Staffing Hours per Resident per Day
1.24711
Adjusted LPN Staffing Hours per Resident per Day
0.29123
Adjusted RN Staffing Hours per Resident per Day
0.80222
Adjusted Total Nurse Staffing Hours per Resident per Day
2.48419
Cycle 1 Total Number of Health Deficiencies
16
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
84
Cycle 1 Standard Survey Health Date
2014-09-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
84
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-11-15
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
44
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
62.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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