Sheridan Shores Cr & Rehab Ctr - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145482
Provider Name
SHERIDAN SHORES CR & REHAB CTR
Provider Address
5838 NORTH SHERIDAN ROAD
CHICAGO, IL 60660
CHICAGO, IL 60660
Provider Phone Number
(773) 769-2230
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
191
Number of Residents in Certified Beds
186
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SHERIDAN SHORES CARE & REHABILITATION CENTER
Date First Approved to Provide Medicare and Medicaid services
1984-04-01
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
4
Overall Rating Footnote
Health Inspection Rating
3
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
1.67231
Reported LPN Staffing Hours per Resident per Day
0.85618
Reported RN Staffing Hours per Resident per Day
0.48065
Reported Licensed Staffing Hours per Resident per Day
1.33683
Reported Total Nurse Staffing Hours per Resident per Day
3.00914
Reported Physical Therapist Staffing Hours per Resident Per Day
0.09220
Expected CNA Staffing Hours per Resident per Day
1.97137
Expected LPN Staffing Hours per Resident per Day
0.55173
Expected RN Staffing Hours per Resident per Day
0.77653
Expected Total Nurse Staffing Hours per Resident per Day
3.29964
Adjusted CNA Staffing Hours per Resident per Day
2.08147
Adjusted LPN Staffing Hours per Resident per Day
1.28799
Adjusted RN Staffing Hours per Resident per Day
0.46249
Adjusted Total Nurse Staffing Hours per Resident per Day
3.67602
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-06-05
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
6
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
2
Cycle 2 Health Deficiency Score
32
Cycle 2 Standard Health Survey Date
2013-07-16
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
32
Cycle 3 Total Number of Health Deficiencies
2
Cycle 3 Number of Standard Health Deficiencies
2
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
8
Cycle 3 Standard Health Survey Date
2012-06-28
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
8
Total Weighted Health Survey Score
38.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
3
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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