Lakeview Rehab & Nursing Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145654
Provider Name
LAKEVIEW REHAB & NURSING CENTER
Provider Address
735 WEST DIVERSEY
CHICAGO, IL 60614
CHICAGO, IL 60614
Provider Phone Number
(773) 348-4055
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
178
Number of Residents in Certified Beds
147
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
LAKEVIEW REHABILITATION AND NURSING CENTER
Date First Approved to Provide Medicare and Medicaid services
1989-11-01
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
3
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.79184
Reported LPN Staffing Hours per Resident per Day
0.61224
Reported RN Staffing Hours per Resident per Day
0.75850
Reported Licensed Staffing Hours per Resident per Day
1.37075
Reported Total Nurse Staffing Hours per Resident per Day
3.16258
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03878
Expected CNA Staffing Hours per Resident per Day
2.62749
Expected LPN Staffing Hours per Resident per Day
0.71733
Expected RN Staffing Hours per Resident per Day
1.18933
Expected Total Nurse Staffing Hours per Resident per Day
4.53415
Adjusted CNA Staffing Hours per Resident per Day
1.67332
Adjusted LPN Staffing Hours per Resident per Day
0.70840
Adjusted RN Staffing Hours per Resident per Day
0.47653
Adjusted Total Nurse Staffing Hours per Resident per Day
2.81156
Cycle 1 Total Number of Health Deficiencies
5
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-05-16
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
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-06-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
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
8
Cycle 3 Standard Health Survey Date
2012-07-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
35.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
4
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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