Illinois Nursing Homes >> Homewood Nursing Homes >> Manorcare Of Homewood

Manorcare Of Homewood - Homewood Nursing Home

General Information

UPDATE
Federal Provider Number
145684
Provider Name
MANORCARE OF HOMEWOOD
Provider Address
940 MAPLE AVENUE
HOMEWOOD, IL 60430
Provider Phone Number
7087990244
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
132
Number of Residents in Certified Beds
125
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF HOMEWOOD IL LLC
Date First Approved to Provide Medicare and Medicaid services
1990-07-24
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
2
Overall Rating Footnote
Health Inspection Rating
1
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
1.82360
Reported LPN Staffing Hours per Resident per Day
0.76960
Reported RN Staffing Hours per Resident per Day
0.80200
Reported Licensed Staffing Hours per Resident per Day
1.57160
Reported Total Nurse Staffing Hours per Resident per Day
3.39520
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18920
Expected CNA Staffing Hours per Resident per Day
2.59033
Expected LPN Staffing Hours per Resident per Day
0.76168
Expected RN Staffing Hours per Resident per Day
1.28615
Expected Total Nurse Staffing Hours per Resident per Day
4.63817
Adjusted CNA Staffing Hours per Resident per Day
1.72741
Adjusted LPN Staffing Hours per Resident per Day
0.83863
Adjusted RN Staffing Hours per Resident per Day
0.46593
Adjusted Total Nurse Staffing Hours per Resident per Day
2.95067
Cycle 1 Total Number of Health Deficiencies
17
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
8
Cycle 1 Health Deficiency Score
108
Cycle 1 Standard Survey Health Date
2015-03-25
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
108
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
128
Cycle 2 Standard Health Survey Date
2014-05-15
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
3
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
99.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
39
Number of Fines
1
Total Amount of Fines in Dollars
3250
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01

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