Gottlieb Memorial Hospital - Melrose Park Nursing Home
General Information
UPDATEFederal Provider Number
145526
Provider Name
GOTTLIEB MEMORIAL HOSPITAL
Provider Address
701 WEST NORTH AVENUE
MELROSE PARK, IL 60160
MELROSE PARK, IL 60160
Provider Phone Number
7084504908
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Corporation
Number of Certified Beds
32
Number of Residents in Certified Beds
24
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
Y
Legal Business Name
GOTTLIEB MEMORIAL HOSPITAL
Date First Approved to Provide Medicare and Medicaid services
1985-06-10
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
5
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
2.85000
Reported LPN Staffing Hours per Resident per Day
0.47708
Reported RN Staffing Hours per Resident per Day
3.16667
Reported Licensed Staffing Hours per Resident per Day
3.64375
Reported Total Nurse Staffing Hours per Resident per Day
6.49375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.23750
Expected CNA Staffing Hours per Resident per Day
2.23916
Expected LPN Staffing Hours per Resident per Day
0.76230
Expected RN Staffing Hours per Resident per Day
1.88381
Expected Total Nurse Staffing Hours per Resident per Day
4.88527
Adjusted CNA Staffing Hours per Resident per Day
3.12306
Adjusted LPN Staffing Hours per Resident per Day
0.51945
Adjusted RN Staffing Hours per Resident per Day
1.25604
Adjusted Total Nurse Staffing Hours per Resident per Day
5.35808
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-10-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-08-08
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
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-07-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
13.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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
Nursiong Homes Nearby
Elmwood Care
7733 West Grand Avenue |
ELMWOOD PARK IL 60707 | 1.6 miles away
Berkeley Nursing & Rehab Center
6909 West North Avenue |
OAK PARK IL 60302 | 2.3 miles away
Paramount Oak Park R & N Ctr
625 North Harlem |
OAK PARK IL 60302 | 2.4 miles away
Bethesda Home & Retirement Ctr
2833 North Nordica Avenue |
CHICAGO IL 60634 | 2.6 miles away
Rush Oak Park Hsp Skilled Care Unit
520 South Maple Avenue |
OAK PARK IL 60304 | 3.1 miles away
Presence Villa Scalabrini N&r
480 North Wolf Road |
NORTHLAKE IL 60164 | 3.1 miles away
Aperion Care Forest Park
8200 West Roosevelt Road |
FOREST PARK IL 60130 | 3.4 miles away
Aria Post Acute Care
4600 North Frontage Road |
HILLSIDE IL 60162 | 3.7 miles away
West Suburban Hospital Med Ctr
3 Erie Court |
OAK PARK IL 60302 | 3.8 miles away
Oakridge Healthcare Center
323 Oakridge Avenue |
HILLSIDE IL 60162 | 3.9 miles away
Central Nursing Home
2450 North Central Avenue |
CHICAGO IL 60639 | 4.1 miles away
Mayfield Care Center
5905 West Washington |
CHICAGO IL 60644 | 4.2 miles away
Columbus Park N & Rehab Center
901 South Austin |
CHICAGO IL 60644 | 4.6 miles away
Community First Medical Center
5645 West Addison Street |
CHICAGO IL 60634 | 4.6 miles away
Norridge Gardens
7001 West Cullom |
NORRIDGE IL 60634 | 4.7 miles away
Norridge Gardens is a 292 bed skilled nursing facility that provides a safe and comfortable environment for rehabilitation therapy, long-term care, memory care, cardiac care, hospice, and respite care. A professional team of physicians, certified nursing assistants, rehabilitation therapists, psychi
Reviews: Be the first to review this provider.
Share your experience with Gottlieb Memorial Hospital. You can help others by writing a review.
