Norwood Crossing - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145974
Provider Name
NORWOOD CROSSING
Provider Address
6016 NORTH NINA AVENUE
CHICAGO, IL 60631
CHICAGO, IL 60631
Provider Phone Number
7736314856
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Corporation
Number of Certified Beds
131
Number of Residents in Certified Beds
122
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
NORWOOD CROSSING ASSOCIATION
Date First Approved to Provide Medicare and Medicaid services
1998-09-15
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
5
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
2
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
3.53730
Reported LPN Staffing Hours per Resident per Day
0.23074
Reported RN Staffing Hours per Resident per Day
1.53770
Reported Licensed Staffing Hours per Resident per Day
1.76844
Reported Total Nurse Staffing Hours per Resident per Day
5.30574
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15000
Expected CNA Staffing Hours per Resident per Day
2.56808
Expected LPN Staffing Hours per Resident per Day
0.63189
Expected RN Staffing Hours per Resident per Day
1.09720
Expected Total Nurse Staffing Hours per Resident per Day
4.29717
Adjusted CNA Staffing Hours per Resident per Day
3.37976
Adjusted LPN Staffing Hours per Resident per Day
0.30308
Adjusted RN Staffing Hours per Resident per Day
1.04718
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97698
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
0
Cycle 1 Standard Survey Health Date
2014-07-25
Cycle 1 Number of Health Revisits
0
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
0
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-09-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
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
2012-08-10
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
0
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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