Grove Lincoln Park Living & Rehab - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145875
Provider Name
GROVE LINCOLN PARK LIVING & REHAB
Provider Address
2732 NORTH HAMPDEN COURT
CHICAGO, IL 60614
CHICAGO, IL 60614
Provider Phone Number
(773) 248-6000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
109
Number of Residents in Certified Beds
72
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
GROVE AT LINCOLN PARK LIVING & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-07-01
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
4
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
2.46042
Reported LPN Staffing Hours per Resident per Day
0.77431
Reported RN Staffing Hours per Resident per Day
1.08472
Reported Licensed Staffing Hours per Resident per Day
1.85903
Reported Total Nurse Staffing Hours per Resident per Day
4.31945
Reported Physical Therapist Staffing Hours per Resident Per Day
0.66667
Expected CNA Staffing Hours per Resident per Day
2.49515
Expected LPN Staffing Hours per Resident per Day
0.71374
Expected RN Staffing Hours per Resident per Day
1.42111
Expected Total Nurse Staffing Hours per Resident per Day
4.63000
Adjusted CNA Staffing Hours per Resident per Day
2.41955
Adjusted LPN Staffing Hours per Resident per Day
0.90044
Adjusted RN Staffing Hours per Resident per Day
0.57033
Adjusted Total Nurse Staffing Hours per Resident per Day
3.76054
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-15
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
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
8
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
8
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
56
Cycle 3 Standard Health Survey Date
2012-10-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
56
Total Weighted Health Survey Score
16.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
3
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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