Grove Of Skokie L & R - Skokie Nursing Home

General Information

UPDATE

Federal Provider Number

145860

Provider Name

GROVE OF SKOKIE L & R

Provider Address

9000 LA VERGNE AVENUE
SKOKIE, IL 60077

Provider Phone Number

(847) 679-2322

Provider SSA County

141

Provider County Name

Cook

Provider Website

Provider Description

Ownership Type

For profit - Partnership

Number of Certified Beds

149

Number of Residents in Certified Beds

138

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

GROVE NORTH LIVING & REHAB CENTER, LLC

Date First Approved to Provide Medicare and Medicaid services

1996-03-01

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

1.97101

Reported LPN Staffing Hours per Resident per Day

0.34783

Reported RN Staffing Hours per Resident per Day

1.02717

Reported Licensed Staffing Hours per Resident per Day

1.37500

Reported Total Nurse Staffing Hours per Resident per Day

3.34601

Reported Physical Therapist Staffing Hours per Resident Per Day

0.16558

Expected CNA Staffing Hours per Resident per Day

2.58753

Expected LPN Staffing Hours per Resident per Day

0.63178

Expected RN Staffing Hours per Resident per Day

1.00440

Expected Total Nurse Staffing Hours per Resident per Day

4.22371

Adjusted CNA Staffing Hours per Resident per Day

1.86907

Adjusted LPN Staffing Hours per Resident per Day

0.45696

Adjusted RN Staffing Hours per Resident per Day

0.76414

Adjusted Total Nurse Staffing Hours per Resident per Day

3.19327

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2015-04-16

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2014-06-05

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2013-05-16

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

34.00000

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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