Manorcare Of Oak Lawn West - Oak Lawn Nursing Home
General Information
UPDATEFederal Provider Number
145087
Provider Name
MANORCARE OF OAK LAWN WEST
Provider Address
6300 WEST 95TH STREET
OAK LAWN, IL 60453
OAK LAWN, IL 60453
Provider Phone Number
7085998800
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
191
Number of Residents in Certified Beds
123
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF OAK LAWN (WEST) IL LLC
Date First Approved to Provide Medicare and Medicaid services
1968-02-21
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
3
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
2.14431
Reported LPN Staffing Hours per Resident per Day
0.67886
Reported RN Staffing Hours per Resident per Day
1.48902
Reported Licensed Staffing Hours per Resident per Day
2.16789
Reported Total Nurse Staffing Hours per Resident per Day
4.31219
Reported Physical Therapist Staffing Hours per Resident Per Day
0.29797
Expected CNA Staffing Hours per Resident per Day
2.59785
Expected LPN Staffing Hours per Resident per Day
0.78890
Expected RN Staffing Hours per Resident per Day
1.38322
Expected Total Nurse Staffing Hours per Resident per Day
4.76997
Adjusted CNA Staffing Hours per Resident per Day
2.02533
Adjusted LPN Staffing Hours per Resident per Day
0.71422
Adjusted RN Staffing Hours per Resident per Day
0.80435
Adjusted Total Nurse Staffing Hours per Resident per Day
3.64405
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-11-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
Cycle 2 Total Number of Health Deficiencies
14
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
10
Cycle 2 Health Deficiency Score
120
Cycle 2 Standard Health Survey Date
2013-10-24
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
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
54.66700
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
19
Number of Fines
1
Total Amount of Fines in Dollars
9360
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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