Prairie Manor Nrsg & Rehab Ctr - Chicago Heights Nursing Home
General Information
UPDATEFederal Provider Number
145629
Provider Name
PRAIRIE MANOR NRSG & REHAB CTR
Provider Address
345 DIXIE HIGHWAY
CHICAGO HEIGHTS, IL 60411
CHICAGO HEIGHTS, IL 60411
Provider Phone Number
(708) 754-7601
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
148
Number of Residents in Certified Beds
132
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRAIRIE MANOR NURSING & REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1989-04-05
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
1
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.82273
Reported LPN Staffing Hours per Resident per Day
0.90833
Reported RN Staffing Hours per Resident per Day
0.61364
Reported Licensed Staffing Hours per Resident per Day
1.52197
Reported Total Nurse Staffing Hours per Resident per Day
3.34470
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09508
Expected CNA Staffing Hours per Resident per Day
2.78054
Expected LPN Staffing Hours per Resident per Day
0.72330
Expected RN Staffing Hours per Resident per Day
1.20529
Expected Total Nurse Staffing Hours per Resident per Day
4.70912
Adjusted CNA Staffing Hours per Resident per Day
1.60848
Adjusted LPN Staffing Hours per Resident per Day
1.04232
Adjusted RN Staffing Hours per Resident per Day
0.38042
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86299
Cycle 1 Total Number of Health Deficiencies
15
Cycle 1 Number of Standard Health Deficiencies
9
Cycle 1 Number of Complaint Health Deficiencies
6
Cycle 1 Health Deficiency Score
116
Cycle 1 Standard Survey Health Date
2014-07-03
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
8
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
4
Cycle 2 Health Deficiency Score
56
Cycle 2 Standard Health Survey Date
2013-05-10
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
56
Cycle 3 Total Number of Health Deficiencies
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
44
Cycle 3 Standard Health Survey Date
2012-06-15
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
44
Total Weighted Health Survey Score
84.00000
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
17
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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