Illinois Nursing Homes >> Chicago Nursing Homes >> Renaissance At 87th Street,the

Renaissance At 87th Street,the - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145983
Provider Name
RENAISSANCE AT 87TH STREET,THE
Provider Address
2940 WEST 87TH STREET
CHICAGO, IL 60652
Provider Phone Number
7734348787
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
210
Number of Residents in Certified Beds
194
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENAISSANCE AT 87TH STREET INC
Date First Approved to Provide Medicare and Medicaid services
1999-09-23
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
3
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
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
2.19175
Reported LPN Staffing Hours per Resident per Day
0.93015
Reported RN Staffing Hours per Resident per Day
0.59562
Reported Licensed Staffing Hours per Resident per Day
1.52577
Reported Total Nurse Staffing Hours per Resident per Day
3.71752
Reported Physical Therapist Staffing Hours per Resident Per Day
0.13840
Expected CNA Staffing Hours per Resident per Day
2.72430
Expected LPN Staffing Hours per Resident per Day
0.65303
Expected RN Staffing Hours per Resident per Day
1.09471
Expected Total Nurse Staffing Hours per Resident per Day
4.47204
Adjusted CNA Staffing Hours per Resident per Day
1.97405
Adjusted LPN Staffing Hours per Resident per Day
1.18221
Adjusted RN Staffing Hours per Resident per Day
0.40654
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35081
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
3
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-04-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
18
Cycle 2 Number of Standard Health Deficiencies
9
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
100
Cycle 2 Standard Health Survey Date
2014-05-22
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
11
Cycle 3 Number of Standard Health Deficiencies
9
Cycle 3 Number of Complaint Health Deficiencies
4
Cycle 3 Health Deficiency Score
120
Cycle 3 Standard Health Survey Date
2013-06-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
120
Total Weighted Health Survey Score
71.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
37
Number of Fines
2
Total Amount of Fines in Dollars
31948
Number of Payment Denials
0
Total Number of Penalties
2
Location
Processing Date
2015-06-01

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