Smith Crossing - Orland Park Nursing Home
General Information
UPDATEFederal Provider Number
146110
Provider Name
SMITH CROSSING
Provider Address
10501 EMILIE LANE
ORLAND PARK, IL 60467
ORLAND PARK, IL 60467
Provider Phone Number
(708) 326-2300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
Non profit - Corporation
Number of Certified Beds
46
Number of Residents in Certified Beds
37
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WASHINGTON & JANE SMITH COMMUNITY - ORLAND PARK
Date First Approved to Provide Medicare and Medicaid services
2007-01-10
Continuing Care Retirement Community
Y
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.67703
Reported LPN Staffing Hours per Resident per Day
0.25405
Reported RN Staffing Hours per Resident per Day
1.81351
Reported Licensed Staffing Hours per Resident per Day
2.06757
Reported Total Nurse Staffing Hours per Resident per Day
4.74459
Reported Physical Therapist Staffing Hours per Resident Per Day
0.24324
Expected CNA Staffing Hours per Resident per Day
2.55918
Expected LPN Staffing Hours per Resident per Day
0.69290
Expected RN Staffing Hours per Resident per Day
1.24145
Expected Total Nurse Staffing Hours per Resident per Day
4.49353
Adjusted CNA Staffing Hours per Resident per Day
2.56670
Adjusted LPN Staffing Hours per Resident per Day
0.30432
Adjusted RN Staffing Hours per Resident per Day
1.09151
Adjusted Total Nurse Staffing Hours per Resident per Day
4.25611
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2014-06-26
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
20
Cycle 2 Standard Health Survey Date
2013-07-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
20
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
1
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-08-02
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
11.33300
Number of Facility Reported Incidents
0
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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