Mayfield Care Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145885
Provider Name
MAYFIELD CARE CENTER
Provider Address
5905 WEST WASHINGTON
CHICAGO, IL 60644
CHICAGO, IL 60644
Provider Phone Number
(773) 261-7074
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
156
Number of Residents in Certified Beds
138
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MAYFIELD CARE CENTER, INC.
Date First Approved to Provide Medicare and Medicaid services
1996-12-01
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
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.22065
Reported LPN Staffing Hours per Resident per Day
1.14710
Reported RN Staffing Hours per Resident per Day
0.54058
Reported Licensed Staffing Hours per Resident per Day
1.68768
Reported Total Nurse Staffing Hours per Resident per Day
3.90833
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11594
Expected CNA Staffing Hours per Resident per Day
2.36016
Expected LPN Staffing Hours per Resident per Day
0.62567
Expected RN Staffing Hours per Resident per Day
1.01833
Expected Total Nurse Staffing Hours per Resident per Day
4.00416
Adjusted CNA Staffing Hours per Resident per Day
2.30866
Adjusted LPN Staffing Hours per Resident per Day
1.52172
Adjusted RN Staffing Hours per Resident per Day
0.39665
Adjusted Total Nurse Staffing Hours per Resident per Day
3.93443
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
32
Cycle 1 Standard Survey Health Date
2015-01-23
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
10
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
80
Cycle 2 Standard Health Survey Date
2014-02-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
80
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
20
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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