Mid America Care Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145881
Provider Name
MID AMERICA CARE CENTER
Provider Address
4920 NORTH KENMORE
CHICAGO, IL 60640
CHICAGO, IL 60640
Provider Phone Number
(773) 769-2700
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
310
Number of Residents in Certified Beds
259
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
MID AMERICA CARE CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1996-08-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Both
Automatic Sprinkler Systems in All Required Areas
Yes
Rating Detail Information
Overall Rating
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.52799
Reported LPN Staffing Hours per Resident per Day
0.50965
Reported RN Staffing Hours per Resident per Day
0.75676
Reported Licensed Staffing Hours per Resident per Day
1.26641
Reported Total Nurse Staffing Hours per Resident per Day
2.79440
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03089
Expected CNA Staffing Hours per Resident per Day
2.04307
Expected LPN Staffing Hours per Resident per Day
0.60647
Expected RN Staffing Hours per Resident per Day
0.94044
Expected Total Nurse Staffing Hours per Resident per Day
3.58998
Adjusted CNA Staffing Hours per Resident per Day
1.83509
Adjusted LPN Staffing Hours per Resident per Day
0.69750
Adjusted RN Staffing Hours per Resident per Day
0.60126
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13760
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-01-08
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2014-02-11
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-01-18
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
68.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
8
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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