Schwab Rehabilitation Ctr Snu - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145966
Provider Name
SCHWAB REHABILITATION CTR SNU
Provider Address
1401 S. CALIFORNIA AVENUE
CHICAGO, IL 60608
CHICAGO, IL 60608
Provider Phone Number
7735222010
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Other
Number of Certified Beds
30
Number of Residents in Certified Beds
8
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
SCHWAB REHABILITATION HOSPITAL AND CARE NETWORK
Date First Approved to Provide Medicare and Medicaid services
1998-06-22
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.23125
Reported LPN Staffing Hours per Resident per Day
1.00000
Reported RN Staffing Hours per Resident per Day
3.21250
Reported Licensed Staffing Hours per Resident per Day
4.21250
Reported Total Nurse Staffing Hours per Resident per Day
6.44375
Reported Physical Therapist Staffing Hours per Resident Per Day
0.71250
Expected CNA Staffing Hours per Resident per Day
1.85575
Expected LPN Staffing Hours per Resident per Day
0.49820
Expected RN Staffing Hours per Resident per Day
1.28118
Expected Total Nurse Staffing Hours per Resident per Day
3.63513
Adjusted CNA Staffing Hours per Resident per Day
2.95020
Adjusted LPN Staffing Hours per Resident per Day
1.66599
Adjusted RN Staffing Hours per Resident per Day
1.87357
Adjusted Total Nurse Staffing Hours per Resident per Day
7.14530
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2015-04-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-03-26
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
21
Cycle 3 Number of Standard Health Deficiencies
21
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
128
Cycle 3 Standard Health Survey Date
2013-01-11
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
128
Total Weighted Health Survey Score
48.66700
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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