Elmwood Care - Elmwood Park Nursing Home
General Information
UPDATEFederal Provider Number
145419
Provider Name
ELMWOOD CARE
Provider Address
7733 WEST GRAND AVENUE
ELMWOOD PARK, IL 60707
ELMWOOD PARK, IL 60707
Provider Phone Number
(708) 452-9200
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
245
Number of Residents in Certified Beds
187
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
ELMWOOD CARE, INC.
Date First Approved to Provide Medicare and Medicaid services
1982-04-01
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
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.67540
Reported LPN Staffing Hours per Resident per Day
0.76738
Reported RN Staffing Hours per Resident per Day
0.87219
Reported Licensed Staffing Hours per Resident per Day
1.63957
Reported Total Nurse Staffing Hours per Resident per Day
3.31497
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03048
Expected CNA Staffing Hours per Resident per Day
2.29751
Expected LPN Staffing Hours per Resident per Day
0.82714
Expected RN Staffing Hours per Resident per Day
1.24096
Expected Total Nurse Staffing Hours per Resident per Day
4.36561
Adjusted CNA Staffing Hours per Resident per Day
1.78930
Adjusted LPN Staffing Hours per Resident per Day
0.77003
Adjusted RN Staffing Hours per Resident per Day
0.52516
Adjusted Total Nurse Staffing Hours per Resident per Day
3.06081
Cycle 1 Total Number of Health Deficiencies
22
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
14
Cycle 1 Health Deficiency Score
124
Cycle 1 Standard Survey Health Date
2014-12-04
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
124
Cycle 2 Total Number of Health Deficiencies
12
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
64
Cycle 2 Standard Health Survey Date
2014-01-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
64
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
12
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
12
Total Weighted Health Survey Score
85.33300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
27
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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