Skokie Meadows Nursing Center I I - Skokie Nursing Home
General Information
UPDATEFederal Provider Number
14E572
Provider Name
SKOKIE MEADOWS NURSING CENTER I I
Provider Address
4600 WEST GOLF ROAD
SKOKIE, IL 60076
SKOKIE, IL 60076
Provider Phone Number
8476791157
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Partnership
Number of Certified Beds
111
Number of Residents in Certified Beds
90
Provider Type
Medicaid
Provider Resides in Hospital
N
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1977-08-01
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
3
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
0.91111
Reported LPN Staffing Hours per Resident per Day
0.59500
Reported RN Staffing Hours per Resident per Day
0.54778
Reported Licensed Staffing Hours per Resident per Day
1.14278
Reported Total Nurse Staffing Hours per Resident per Day
2.05389
Reported Physical Therapist Staffing Hours per Resident Per Day
0.00000
Expected CNA Staffing Hours per Resident per Day
1.31531
Expected LPN Staffing Hours per Resident per Day
0.45351
Expected RN Staffing Hours per Resident per Day
0.61195
Expected Total Nurse Staffing Hours per Resident per Day
2.38077
Adjusted CNA Staffing Hours per Resident per Day
1.69967
Adjusted LPN Staffing Hours per Resident per Day
1.08896
Adjusted RN Staffing Hours per Resident per Day
0.66884
Adjusted Total Nurse Staffing Hours per Resident per Day
3.47746
Cycle 1 Total Number of Health Deficiencies
28
Cycle 1 Number of Standard Health Deficiencies
28
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
572
Cycle 1 Standard Survey Health Date
2014-12-08
Cycle 1 Number of Health Revisits
2
Cycle 1 Health Revisit Score
286
Cycle 1 Total Health Score
858
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2014-02-07
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
3
Cycle 3 Number of Standard Health Deficiencies
3
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
16
Cycle 3 Standard Health Survey Date
2013-01-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
16
Total Weighted Health Survey Score
439.66700
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
Nursiong Homes Nearby
Cambridge Nursing & Rehab Center
9615 North Knox Avenue |
SKOKIE IL 60076 | 0.1 mile away
Lieberman Center For Health & Rehab
9700 Gross Point Road |
SKOKIE IL 60076 | 0.3 mile away
Alden Estates Of Skokie
4626 Old Orchard Road |
SKOKIE IL 60076 | 0.5 mile away
Alden Estates Of Evanston
2520 Gross Point Road |
EVANSTON IL 60201 | 0.8 mile away
Grove Of Skokie L & R
9000 La Vergne Avenue |
SKOKIE IL 60077 | 0.9 mile away
Westminster Place
3200 Grant Street |
EVANSTON IL 60201 | 1 mile away
Manorcare Of Wilmette
432 Poplar Drive |
WILMETTE IL 60091 | 2.3 miles away
Aperion Care Evanston
1300 Oak Avenue |
EVANSTON IL 60201 | 3 miles away
Symphony Evanston Healthcare
820 Foster Street |
EVANSTON IL 60201 | 3 miles away
Alden North Shore Rehab & Hcc
5050 West Touhy Avenue |
SKOKIE IL 60077 | 3.1 miles away
Greenwood Care
1406 Chicago Avenue |
EVANSTON IL 60202 | 3.2 miles away
Dobson Plaza
120 Dodge Avenue |
EVANSTON IL 60202 | 3.3 miles away
Albany Care
901 Maple Avenue |
EVANSTON IL 60202 | 3.3 miles away
Grove Of Evanston
500 Asbury Street |
EVANSTON IL 60202 | 3.3 miles away
Bella Terra Morton Grove
8425 Waukegan Road |
MORTON GROVE IL 60053 | 3.3 miles away
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