Mac Neal Memorial Hospital - Berwyn Nursing Home
General Information
UPDATEFederal Provider Number
145848
Provider Name
MAC NEAL MEMORIAL HOSPITAL
Provider Address
3249 SOUTH OAK PARK AVENUE
BERWYN, IL 60402
BERWYN, IL 60402
Provider Phone Number
(708) 783-9100
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
40
Number of Residents in Certified Beds
31
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
VHS OF ILLINOIS INC
Date First Approved to Provide Medicare and Medicaid services
1995-10-03
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
None
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
5
Overall Rating Footnote
Health Inspection Rating
5
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
2.56290
Reported LPN Staffing Hours per Resident per Day
0.07419
Reported RN Staffing Hours per Resident per Day
3.05161
Reported Licensed Staffing Hours per Resident per Day
3.12581
Reported Total Nurse Staffing Hours per Resident per Day
5.68870
Reported Physical Therapist Staffing Hours per Resident Per Day
0.96774
Expected CNA Staffing Hours per Resident per Day
2.54967
Expected LPN Staffing Hours per Resident per Day
0.97979
Expected RN Staffing Hours per Resident per Day
2.08383
Expected Total Nurse Staffing Hours per Resident per Day
5.61330
Adjusted CNA Staffing Hours per Resident per Day
2.46643
Adjusted LPN Staffing Hours per Resident per Day
0.06285
Adjusted RN Staffing Hours per Resident per Day
1.09422
Adjusted Total Nurse Staffing Hours per Resident per Day
4.08504
Cycle 1 Total Number of Health Deficiencies
0
Cycle 1 Number of Standard Health Deficiencies
0
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-10
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
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
16
Cycle 2 Standard Health Survey Date
2013-08-02
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2012-09-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
8.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
0
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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