Illinois Nursing Homes >> Chicago Nursing Homes >> Imperial Grove Pavilion, The

Imperial Grove Pavilion, The - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145510
Provider Name
IMPERIAL GROVE PAVILION, THE
Provider Address
1366 WEST FULLERTON AVENUE
CHICAGO, IL 60614
Provider Phone Number
(773) 248-9300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
248
Number of Residents in Certified Beds
231
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
CLARIDGE IMPERIAL, LTD
Date First Approved to Provide Medicare and Medicaid services
1984-09-25
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
2.01861
Reported LPN Staffing Hours per Resident per Day
0.46039
Reported RN Staffing Hours per Resident per Day
1.26277
Reported Licensed Staffing Hours per Resident per Day
1.72316
Reported Total Nurse Staffing Hours per Resident per Day
3.74177
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17381
Expected CNA Staffing Hours per Resident per Day
2.62880
Expected LPN Staffing Hours per Resident per Day
0.76690
Expected RN Staffing Hours per Resident per Day
1.43292
Expected Total Nurse Staffing Hours per Resident per Day
4.82861
Adjusted CNA Staffing Hours per Resident per Day
1.88416
Adjusted LPN Staffing Hours per Resident per Day
0.49827
Adjusted RN Staffing Hours per Resident per Day
0.65848
Adjusted Total Nurse Staffing Hours per Resident per Day
3.12361
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-02-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
3
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-03-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2013-04-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
36.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
12
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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