Manorcare Of Oak Lawn East - Oak Lawn Nursing Home
General Information
UPDATEFederal Provider Number
145363
Provider Name
MANORCARE OF OAK LAWN EAST
Provider Address
9401 SOUTH KOSTNER AVENUE
OAK LAWN, IL 60453
OAK LAWN, IL 60453
Provider Phone Number
(708) 423-7882
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
122
Number of Residents in Certified Beds
103
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF OAK LAWN (EAST) IL LLC
Date First Approved to Provide Medicare and Medicaid services
1977-12-08
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
2
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
2.20631
Reported LPN Staffing Hours per Resident per Day
0.54563
Reported RN Staffing Hours per Resident per Day
1.51990
Reported Licensed Staffing Hours per Resident per Day
2.06553
Reported Total Nurse Staffing Hours per Resident per Day
4.27184
Reported Physical Therapist Staffing Hours per Resident Per Day
0.37621
Expected CNA Staffing Hours per Resident per Day
2.63400
Expected LPN Staffing Hours per Resident per Day
0.82973
Expected RN Staffing Hours per Resident per Day
1.54255
Expected Total Nurse Staffing Hours per Resident per Day
5.00628
Adjusted CNA Staffing Hours per Resident per Day
2.05529
Adjusted LPN Staffing Hours per Resident per Day
0.54581
Adjusted RN Staffing Hours per Resident per Day
0.73623
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43955
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
88
Cycle 2 Standard Health Survey Date
2013-11-07
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
88
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
25
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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