Manorcare Of Palos Heights West - Palos Heights Nursing Home

General Information

UPDATE
Federal Provider Number
145893
Provider Name
MANORCARE OF PALOS HEIGHTS WEST
Provider Address
11860 SOUTHWEST HIGHWAY
PALOS HEIGHTS, IL 60463
Provider Phone Number
(708) 361-4555
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
130
Number of Residents in Certified Beds
118
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MANOR CARE OF PALOS HEIGHTS (WEST) IL LLC
Date First Approved to Provide Medicare and Medicaid services
1996-06-12
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
3
Overall Rating Footnote
Health Inspection Rating
3
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
2.10847
Reported LPN Staffing Hours per Resident per Day
0.27415
Reported RN Staffing Hours per Resident per Day
1.59153
Reported Licensed Staffing Hours per Resident per Day
1.86568
Reported Total Nurse Staffing Hours per Resident per Day
3.97415
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21271
Expected CNA Staffing Hours per Resident per Day
2.61567
Expected LPN Staffing Hours per Resident per Day
0.75378
Expected RN Staffing Hours per Resident per Day
1.42574
Expected Total Nurse Staffing Hours per Resident per Day
4.79519
Adjusted CNA Staffing Hours per Resident per Day
1.97790
Adjusted LPN Staffing Hours per Resident per Day
0.30187
Adjusted RN Staffing Hours per Resident per Day
0.83409
Adjusted Total Nurse Staffing Hours per Resident per Day
3.34072
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-12-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
3
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
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
36
Total Weighted Health Survey Score
36.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
5
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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