Park House Nursing & Rehab Ctr - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
146018
Provider Name
PARK HOUSE NURSING & REHAB CTR
Provider Address
2320 SOUTH LAWNDALE
CHICAGO, IL 60623
CHICAGO, IL 60623
Provider Phone Number
(773) 522-0400
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
106
Number of Residents in Certified Beds
93
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK HOUSE NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
2002-02-07
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
1.21989
Reported LPN Staffing Hours per Resident per Day
0.45323
Reported RN Staffing Hours per Resident per Day
0.31129
Reported Licensed Staffing Hours per Resident per Day
0.76452
Reported Total Nurse Staffing Hours per Resident per Day
1.98441
Reported Physical Therapist Staffing Hours per Resident Per Day
0.05000
Expected CNA Staffing Hours per Resident per Day
2.02862
Expected LPN Staffing Hours per Resident per Day
0.54586
Expected RN Staffing Hours per Resident per Day
0.76162
Expected Total Nurse Staffing Hours per Resident per Day
3.33610
Adjusted CNA Staffing Hours per Resident per Day
1.47551
Adjusted LPN Staffing Hours per Resident per Day
0.68915
Adjusted RN Staffing Hours per Resident per Day
0.30540
Adjusted Total Nurse Staffing Hours per Resident per Day
2.39769
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
2
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2013-01-25
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
41.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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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