Lieberman Center For Health & Rehab - Skokie Nursing Home

General Information

UPDATE
Federal Provider Number
145931
Provider Name
LIEBERMAN CENTER FOR HEALTH & REHAB
Provider Address
9700 GROSS POINT ROAD
SKOKIE, IL 60076
Provider Phone Number
(847) 674-7120
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
211
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
COUNCIL FOR JEWISH ELDERLY
Date First Approved to Provide Medicare and Medicaid services
1997-07-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
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
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.48626
Reported LPN Staffing Hours per Resident per Day
0.16090
Reported RN Staffing Hours per Resident per Day
1.23318
Reported Licensed Staffing Hours per Resident per Day
1.39408
Reported Total Nurse Staffing Hours per Resident per Day
3.88034
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04976
Expected CNA Staffing Hours per Resident per Day
2.59334
Expected LPN Staffing Hours per Resident per Day
0.60813
Expected RN Staffing Hours per Resident per Day
0.96855
Expected Total Nurse Staffing Hours per Resident per Day
4.17003
Adjusted CNA Staffing Hours per Resident per Day
2.35238
Adjusted LPN Staffing Hours per Resident per Day
0.21960
Adjusted RN Staffing Hours per Resident per Day
0.95135
Adjusted Total Nurse Staffing Hours per Resident per Day
3.75088
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-18
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-08-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
40
Cycle 3 Standard Health Survey Date
2012-06-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
40
Total Weighted Health Survey Score
22.00000
Number of Facility Reported Incidents
1
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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