Presence Saint Benedict N & R - Niles Nursing Home
General Information
UPDATEFederal Provider Number
145731
Provider Name
PRESENCE SAINT BENEDICT N & R
Provider Address
6930 WEST TOUHY AVENUE
NILES, IL 60714
NILES, IL 60714
Provider Phone Number
(847) 647-0003
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Church related
Number of Certified Beds
99
Number of Residents in Certified Beds
95
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
1992-08-01
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
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
1.99211
Reported LPN Staffing Hours per Resident per Day
0.24421
Reported RN Staffing Hours per Resident per Day
1.25947
Reported Licensed Staffing Hours per Resident per Day
1.50368
Reported Total Nurse Staffing Hours per Resident per Day
3.49579
Reported Physical Therapist Staffing Hours per Resident Per Day
0.38368
Expected CNA Staffing Hours per Resident per Day
2.51433
Expected LPN Staffing Hours per Resident per Day
0.65657
Expected RN Staffing Hours per Resident per Day
1.15986
Expected Total Nurse Staffing Hours per Resident per Day
4.33076
Adjusted CNA Staffing Hours per Resident per Day
1.94408
Adjusted LPN Staffing Hours per Resident per Day
0.30872
Adjusted RN Staffing Hours per Resident per Day
0.81137
Adjusted Total Nurse Staffing Hours per Resident per Day
3.25375
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-07-11
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
2
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-06-27
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
24
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
2012-07-13
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
10.66700
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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