Sacred Heart Home - Chicago Nursing Home

General Information

UPDATE

Federal Provider Number

140000000000000000000000000000

Provider Name

SACRED HEART HOME

Provider Address

1550 SOUTH ALBANY
CHICAGO, IL 60623

Provider Phone Number

(773) 277-6868

Provider SSA County

141

Provider County Name

Cook

Provider Website

Provider Description

Ownership Type

For profit - Partnership

Number of Certified Beds

172

Number of Residents in Certified Beds

153

Provider Type

Medicaid

Provider Resides in Hospital

Legal Business Name

Legal Business Name Not Available

Date First Approved to Provide Medicare and Medicaid services

1976-05-06

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

Data Not Available

RN Staffing Rating

RN Staffing Rating Footnote

Data Not Available

Reported Staffing Footnote

Staffing Values not Reported because of Data Quality Concerns

Physical Therapist Staffing Footnote

Physical Therapy Staffing Values not Reported because of Data Quality Concerns

Reported CNA Staffing Hours per Resident per Day

0.00000

Reported LPN Staffing Hours per Resident per Day

0.00000

Reported RN Staffing Hours per Resident per Day

0.00000

Reported Licensed Staffing Hours per Resident per Day

0.00000

Reported Total Nurse Staffing Hours per Resident per Day

0.00000

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Expected CNA Staffing Hours per Resident per Day

1.30837

Expected LPN Staffing Hours per Resident per Day

0.46020

Expected RN Staffing Hours per Resident per Day

0.56358

Expected Total Nurse Staffing Hours per Resident per Day

2.33215

Adjusted CNA Staffing Hours per Resident per Day

0.00000

Adjusted LPN Staffing Hours per Resident per Day

0.00000

Adjusted RN Staffing Hours per Resident per Day

0.00000

Adjusted Total Nurse Staffing Hours per Resident per Day

0.00000

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2015-03-12

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2014-02-21

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

2013-04-11

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

21.33300

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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