Park Villa Nrsg & Rehab Center - Palos Heights Nursing Home
General Information
UPDATEFederal Provider Number
145779
Provider Name
PARK VILLA NRSG & REHAB CENTER
Provider Address
12550 SOUTH RIDGELAND AVENUE
PALOS HEIGHTS, IL 60463
PALOS HEIGHTS, IL 60463
Provider Phone Number
(708) 597-9300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
101
Number of Residents in Certified Beds
63
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PARK VILLA NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1993-08-26
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
1.58651
Reported LPN Staffing Hours per Resident per Day
0.83889
Reported RN Staffing Hours per Resident per Day
1.89286
Reported Licensed Staffing Hours per Resident per Day
2.73175
Reported Total Nurse Staffing Hours per Resident per Day
4.31826
Reported Physical Therapist Staffing Hours per Resident Per Day
0.18175
Expected CNA Staffing Hours per Resident per Day
2.52672
Expected LPN Staffing Hours per Resident per Day
0.74499
Expected RN Staffing Hours per Resident per Day
1.41940
Expected Total Nurse Staffing Hours per Resident per Day
4.69111
Adjusted CNA Staffing Hours per Resident per Day
1.54066
Adjusted LPN Staffing Hours per Resident per Day
0.93462
Adjusted RN Staffing Hours per Resident per Day
0.99644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.71052
Cycle 1 Total Number of Health Deficiencies
9
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
56
Cycle 1 Standard Survey Health Date
2015-03-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
56
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2014-02-28
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
24
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
24
Total Weighted Health Survey Score
42.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
12
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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