Niles Nsg & Rehab Ctr - Niles Nursing Home

General Information

UPDATE
Federal Provider Number
145696
Provider Name
NILES NSG & REHAB CTR
Provider Address
9777 GREENWOOD
NILES, IL 60714
Provider Phone Number
(847) 967-7000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
304
Number of Residents in Certified Beds
271
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NILES NURSING & REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1991-06-13
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
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
5
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
2.84668
Reported LPN Staffing Hours per Resident per Day
0.39022
Reported RN Staffing Hours per Resident per Day
1.46550
Reported Licensed Staffing Hours per Resident per Day
1.85572
Reported Total Nurse Staffing Hours per Resident per Day
4.70240
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05277
Expected CNA Staffing Hours per Resident per Day
2.32477
Expected LPN Staffing Hours per Resident per Day
0.59852
Expected RN Staffing Hours per Resident per Day
0.93870
Expected Total Nurse Staffing Hours per Resident per Day
3.86199
Adjusted CNA Staffing Hours per Resident per Day
3.00455
Adjusted LPN Staffing Hours per Resident per Day
0.54114
Adjusted RN Staffing Hours per Resident per Day
1.16654
Adjusted Total Nurse Staffing Hours per Resident per Day
4.90807
Cycle 1 Total Number of Health Deficiencies
12
Cycle 1 Number of Standard Health Deficiencies
12
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
76
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
76
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
60
Cycle 2 Standard Health Survey Date
2013-08-29
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
60
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
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
4
Total Weighted Health Survey Score
58.66700
Number of Facility Reported Incidents
0
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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