Plymouth Place - La Grange Park Nursing Home
General Information
UPDATEFederal Provider Number
146128
Provider Name
PLYMOUTH PLACE
Provider Address
315 NORTH LA GRANGE ROAD
LA GRANGE PARK, IL 60526
LA GRANGE PARK, IL 60526
Provider Phone Number
7084826668
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Church related
Number of Certified Beds
86
Number of Residents in Certified Beds
80
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLYMOUTH PLACE, INC.
Date First Approved to Provide Medicare and Medicaid services
2008-10-22
Continuing Care Retirement Community
Y
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
3
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
2.21375
Reported LPN Staffing Hours per Resident per Day
0.57438
Reported RN Staffing Hours per Resident per Day
0.86000
Reported Licensed Staffing Hours per Resident per Day
1.43438
Reported Total Nurse Staffing Hours per Resident per Day
3.64813
Reported Physical Therapist Staffing Hours per Resident Per Day
0.26938
Expected CNA Staffing Hours per Resident per Day
2.30051
Expected LPN Staffing Hours per Resident per Day
0.62778
Expected RN Staffing Hours per Resident per Day
1.18880
Expected Total Nurse Staffing Hours per Resident per Day
4.11710
Adjusted CNA Staffing Hours per Resident per Day
2.36116
Adjusted LPN Staffing Hours per Resident per Day
0.75939
Adjusted RN Staffing Hours per Resident per Day
0.54054
Adjusted Total Nurse Staffing Hours per Resident per Day
3.57175
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
15
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2015-02-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
116
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
24
Cycle 2 Standard Health Survey Date
2014-02-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-03-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
70.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
1
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
Nursiong Homes Nearby
Meadowbrook Manor - Lagrange
339 9th Avenue |
LA GRANGE IL 60525 | 0.9 mile away
Grove Of La Grange Park
701 North Lagrange Road |
LA GRANGE PARK IL 60526 | 1.3 miles away
Lexington Of Lagrange
4735 Willow Springs Road |
LA GRANGE IL 60525 | 1.6 miles away
British Home, The
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BROOKFIELD IL 60513 | 1.9 miles away
Westchester Health & Rehabilitation
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WESTCHESTER IL 60154 | 2.3 miles away
Oakridge Healthcare Center
323 Oakridge Avenue |
HILLSIDE IL 60162 | 3.2 miles away
Courtyard Healthcare Center
3601 South Harlem Avenue |
BERWYN IL 60402 | 3.4 miles away
Aperion Care Forest Park
8200 West Roosevelt Road |
FOREST PARK IL 60130 | 3.7 miles away
Pershing Gardens Healthcare Center
3900 South Oak Park Avenue |
STICKNEY IL 60402 | 3.9 miles away
Aria Post Acute Care
4600 North Frontage Road |
HILLSIDE IL 60162 | 3.9 miles away
Mac Neal Memorial Hospital
3249 South Oak Park Avenue |
BERWYN IL 60402 | 4 miles away
Alden Town Manor Rehab & Hcc
6120 West Ogden |
CICERO IL 60804 | 4.8 miles away
Rush Oak Park Hsp Skilled Care Unit
520 South Maple Avenue |
OAK PARK IL 60304 | 5.2 miles away
Cedar Pointe Rehab & Nursing
5825 West Cermak Road |
CICERO IL 60804 | 5.4 miles away
Columbus Park N & Rehab Center
901 South Austin |
CHICAGO IL 60644 | 5.9 miles away
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