Estates Of Hyde Park, The - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145828
Provider Name
ESTATES OF HYDE PARK, THE
Provider Address
4505 SOUTH DREXEL
CHICAGO, IL 60653
Provider Phone Number
7732850550
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
155
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
AVENUE CARE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1995-01-23
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.53402
Reported LPN Staffing Hours per Resident per Day
0.91926
Reported RN Staffing Hours per Resident per Day
0.31967
Reported Licensed Staffing Hours per Resident per Day
1.23893
Reported Total Nurse Staffing Hours per Resident per Day
2.77295
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04672
Expected CNA Staffing Hours per Resident per Day
2.14597
Expected LPN Staffing Hours per Resident per Day
0.56512
Expected RN Staffing Hours per Resident per Day
0.86349
Expected Total Nurse Staffing Hours per Resident per Day
3.57458
Adjusted CNA Staffing Hours per Resident per Day
1.75400
Adjusted LPN Staffing Hours per Resident per Day
1.35013
Adjusted RN Staffing Hours per Resident per Day
0.27662
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12694
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
148
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
148
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
48
Cycle 2 Standard Health Survey Date
2014-01-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
13
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
76
Cycle 3 Standard Health Survey Date
2013-02-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
76
Total Weighted Health Survey Score
102.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
41
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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