Grosse Pointe Manor - Niles Nursing Home
General Information
UPDATEFederal Provider Number
145999
Provider Name
GROSSE POINTE MANOR
Provider Address
6601 WEST TOUHY AVENUE
NILES, IL 60714
NILES, IL 60714
Provider Phone Number
(847) 647-9875
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
99
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROSSE POINTE MANOR, LLC
Date First Approved to Provide Medicare and Medicaid services
2000-12-30
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.10250
Reported LPN Staffing Hours per Resident per Day
0.53563
Reported RN Staffing Hours per Resident per Day
0.57313
Reported Licensed Staffing Hours per Resident per Day
1.10875
Reported Total Nurse Staffing Hours per Resident per Day
3.21126
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03563
Expected CNA Staffing Hours per Resident per Day
2.50538
Expected LPN Staffing Hours per Resident per Day
0.70480
Expected RN Staffing Hours per Resident per Day
1.13767
Expected Total Nurse Staffing Hours per Resident per Day
4.34786
Adjusted CNA Staffing Hours per Resident per Day
2.05913
Adjusted LPN Staffing Hours per Resident per Day
0.63077
Adjusted RN Staffing Hours per Resident per Day
0.37642
Adjusted Total Nurse Staffing Hours per Resident per Day
2.97716
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
16
Cycle 1 Standard Survey Health Date
2015-04-03
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
16
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-06-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
52
Cycle 3 Standard Health Survey Date
2013-05-30
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
52
Total Weighted Health Survey Score
32.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
1
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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