Countryside Nursing & Rehab Ctr - Dolton Nursing Home

General Information

UPDATE
Federal Provider Number
145798
Provider Name
COUNTRYSIDE NURSING & REHAB CTR
Provider Address
1635 EAST 154TH STREET
DOLTON, IL 60419
Provider Phone Number
(708) 841-9550
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
197
Number of Residents in Certified Beds
171
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNTRYSIDE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1994-08-01
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
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
1.41199
Reported LPN Staffing Hours per Resident per Day
0.73509
Reported RN Staffing Hours per Resident per Day
0.43421
Reported Licensed Staffing Hours per Resident per Day
1.16930
Reported Total Nurse Staffing Hours per Resident per Day
2.58129
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00848
Expected CNA Staffing Hours per Resident per Day
2.07548
Expected LPN Staffing Hours per Resident per Day
0.58129
Expected RN Staffing Hours per Resident per Day
0.82473
Expected Total Nurse Staffing Hours per Resident per Day
3.48150
Adjusted CNA Staffing Hours per Resident per Day
1.66930
Adjusted LPN Staffing Hours per Resident per Day
1.04960
Adjusted RN Staffing Hours per Resident per Day
0.39339
Adjusted Total Nurse Staffing Hours per Resident per Day
2.98863
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-09-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
52
Cycle 2 Standard Health Survey Date
2013-11-05
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
52
Cycle 3 Total Number of Health Deficiencies
18
Cycle 3 Number of Standard Health Deficiencies
17
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
84
Cycle 3 Standard Health Survey Date
2012-08-31
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
84
Total Weighted Health Survey Score
51.33300
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
9
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
Reviews: Be the first to review this provider.

Share your experience with Countryside Nursing & Rehab Ctr. You can help others by writing a review.


Ask the Community

Connect, Seek Advice, Share Knowledge

Nursiong Homes Nearby

Aperion Care Dolton

14325 South Blackstone | DOLTON IL 60419 | 1.3 miles away

Bria Of River Oaks

14500 South Manistee | BURNHAM IL 60633 | 1.5 miles away

Manorcare Of South Holland

2145 East 170th Street | SOUTH HOLLAND IL 60473 | 2.1 miles away

Windmill Nursing Pavilion

16000 South Wabash | SOUTH HOLLAND IL 60473 | 2.2 miles away

Villa At South Holland, The

16300 Wausau Street | SOUTH HOLLAND IL 60473 | 2.2 miles away

Tri-state Nursing & Rehab Ctr

2500 East 175th Street | LANSING IL 60438 | 2.8 miles away

Heather Health Care Center

15600 South Honore Street | HARVEY IL 60426 | 4.5 miles away

Manorcare Of Homewood

940 Maple Avenue | HOMEWOOD IL 60430 | 4.7 miles away

Glenwood Healthcare & Rehab.

19330 South Cottage Grove | GLENWOOD IL 60425 | 5.4 miles away

South Suburban Rehab Center

19000 Halsted | HOMEWOOD IL 60430 | 5.9 miles away

Renaissance Park South

10935 South Halsted Street | CHICAGO IL 60628 | 6.5 miles away

Aperion Care Midlothian

3249 West 147th Street | MIDLOTHIAN IL 60445 | 6.5 miles away

Pine Crest Health Care

3300 West 175th Street | HAZEL CREST IL 60429 | 6.9 miles away

Advocate South Suburban Hospital-snf

17800 South Kedzie Avenue | HAZEL CREST IL 60429 | 7.1 miles away

Belhaven Nursing & Rehab Center

11401 South Oakley Avenue | CHICAGO IL 60643 | 7.2 miles away