Presence Resurrection Life Ctr - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145960
Provider Name
PRESENCE RESURRECTION LIFE CTR
Provider Address
7370 WEST TALCOTT AVENUE
CHICAGO, IL 60631
CHICAGO, IL 60631
Provider Phone Number
(773) 594-7400
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
157
Number of Residents in Certified Beds
152
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PRESENCE RHC SENIOR SERVICES
Date First Approved to Provide Medicare and Medicaid services
1998-03-26
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
5
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
2.21053
Reported LPN Staffing Hours per Resident per Day
0.25954
Reported RN Staffing Hours per Resident per Day
1.26546
Reported Licensed Staffing Hours per Resident per Day
1.52500
Reported Total Nurse Staffing Hours per Resident per Day
3.73553
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10395
Expected CNA Staffing Hours per Resident per Day
2.43536
Expected LPN Staffing Hours per Resident per Day
0.56608
Expected RN Staffing Hours per Resident per Day
0.94983
Expected Total Nurse Staffing Hours per Resident per Day
3.95127
Adjusted CNA Staffing Hours per Resident per Day
2.22718
Adjusted LPN Staffing Hours per Resident per Day
0.38054
Adjusted RN Staffing Hours per Resident per Day
0.99550
Adjusted Total Nurse Staffing Hours per Resident per Day
3.81082
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
20
Cycle 1 Standard Survey Health Date
2014-10-23
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
20
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
28
Cycle 2 Standard Health Survey Date
2013-11-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
28
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
2012-12-21
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
20.00000
Number of Facility Reported Incidents
0
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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