Renaissance At Midway, The - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145995
Provider Name
RENAISSANCE AT MIDWAY, THE
Provider Address
4437 SOUTH CICERO
CHICAGO, IL 60632
CHICAGO, IL 60632
Provider Phone Number
(773) 884-0484
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
249
Number of Residents in Certified Beds
217
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
RENAISSANCE AT MIDWAY INC
Date First Approved to Provide Medicare and Medicaid services
2000-06-29
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
2
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
4
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
2.09839
Reported LPN Staffing Hours per Resident per Day
1.08641
Reported RN Staffing Hours per Resident per Day
0.64816
Reported Licensed Staffing Hours per Resident per Day
1.73456
Reported Total Nurse Staffing Hours per Resident per Day
3.83296
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15806
Expected CNA Staffing Hours per Resident per Day
2.68081
Expected LPN Staffing Hours per Resident per Day
0.73385
Expected RN Staffing Hours per Resident per Day
1.19016
Expected Total Nurse Staffing Hours per Resident per Day
4.60483
Adjusted CNA Staffing Hours per Resident per Day
1.92062
Adjusted LPN Staffing Hours per Resident per Day
1.22875
Adjusted RN Staffing Hours per Resident per Day
0.40692
Adjusted Total Nurse Staffing Hours per Resident per Day
3.35524
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2015-03-13
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2014-04-24
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
5
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
3
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-05-09
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
47.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
25
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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