Renaissance At South Shore,the - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145977
Provider Name
RENAISSANCE AT SOUTH SHORE,THE
Provider Address
2425 EAST 71ST STREET
CHICAGO, IL 60649
Provider Phone Number
(773) 721-5000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
248
Number of Residents in Certified Beds
219
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
THE RENAISSANCE AT SOUTH SHORE INC.
Date First Approved to Provide Medicare and Medicaid services
1998-11-12
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.33128
Reported LPN Staffing Hours per Resident per Day
1.27557
Reported RN Staffing Hours per Resident per Day
0.37511
Reported Licensed Staffing Hours per Resident per Day
1.65068
Reported Total Nurse Staffing Hours per Resident per Day
3.98196
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07831
Expected CNA Staffing Hours per Resident per Day
2.51580
Expected LPN Staffing Hours per Resident per Day
0.66689
Expected RN Staffing Hours per Resident per Day
1.15988
Expected Total Nurse Staffing Hours per Resident per Day
4.34256
Adjusted CNA Staffing Hours per Resident per Day
2.27374
Adjusted LPN Staffing Hours per Resident per Day
1.58756
Adjusted RN Staffing Hours per Resident per Day
0.24165
Adjusted Total Nurse Staffing Hours per Resident per Day
3.69618
Cycle 1 Total Number of Health Deficiencies
19
Cycle 1 Number of Standard Health Deficiencies
11
Cycle 1 Number of Complaint Health Deficiencies
11
Cycle 1 Health Deficiency Score
112
Cycle 1 Standard Survey Health Date
2014-07-01
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
112
Cycle 2 Total Number of Health Deficiencies
20
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
9
Cycle 2 Health Deficiency Score
136
Cycle 2 Standard Health Survey Date
2013-08-30
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
136
Cycle 3 Total Number of Health Deficiencies
11
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
8
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-07-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
112.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
55
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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