Lincolnwood Place - Lincolnwood Nursing Home
General Information
UPDATEFederal Provider Number
145786
Provider Name
LINCOLNWOOD PLACE
Provider Address
7000 NORTH MCCORMICK BLVD.
LINCOLNWOOD, IL 60645
LINCOLNWOOD, IL 60645
Provider Phone Number
8476737166
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
33
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
GA HC REIT II LINCOLNWOOD TRS SUB, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-04-01
Continuing Care Retirement Community
Y
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
4
QM Rating Footnote
Staffing Rating
3
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
2.01061
Reported LPN Staffing Hours per Resident per Day
0.51667
Reported RN Staffing Hours per Resident per Day
1.42424
Reported Licensed Staffing Hours per Resident per Day
1.94091
Reported Total Nurse Staffing Hours per Resident per Day
3.95152
Reported Physical Therapist Staffing Hours per Resident Per Day
0.48485
Expected CNA Staffing Hours per Resident per Day
2.49742
Expected LPN Staffing Hours per Resident per Day
0.71226
Expected RN Staffing Hours per Resident per Day
1.46420
Expected Total Nurse Staffing Hours per Resident per Day
4.67388
Adjusted CNA Staffing Hours per Resident per Day
1.97541
Adjusted LPN Staffing Hours per Resident per Day
0.60208
Adjusted RN Staffing Hours per Resident per Day
0.72681
Adjusted Total Nurse Staffing Hours per Resident per Day
3.40791
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-12-18
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
3
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
12
Cycle 3 Standard Health Survey Date
2012-12-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
12
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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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