Illinois Nursing Homes >> Chicago Nursing Homes >> Margaret Manor

Margaret Manor - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
14E756
Provider Name
MARGARET MANOR
Provider Address
1121 NORTH ORLEANS
CHICAGO, IL 60610
Provider Phone Number
(312) 943-4300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
135
Number of Residents in Certified Beds
115
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-06-09
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.97391
Reported LPN Staffing Hours per Resident per Day
0.34783
Reported RN Staffing Hours per Resident per Day
0.25826
Reported Licensed Staffing Hours per Resident per Day
0.60609
Reported Total Nurse Staffing Hours per Resident per Day
1.58000
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.24173
Expected LPN Staffing Hours per Resident per Day
0.46182
Expected RN Staffing Hours per Resident per Day
0.52464
Expected Total Nurse Staffing Hours per Resident per Day
2.22818
Adjusted CNA Staffing Hours per Resident per Day
1.92448
Adjusted LPN Staffing Hours per Resident per Day
0.62514
Adjusted RN Staffing Hours per Resident per Day
0.36782
Adjusted Total Nurse Staffing Hours per Resident per Day
2.85830
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2014-08-22
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
32
Cycle 2 Total Number of Health Deficiencies
8
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-09-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
30.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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