Illinois Nursing Homes >> Homewood Nursing Homes >> South Suburban Rehab Center

South Suburban Rehab Center - Homewood Nursing Home

General Information

UPDATE
Federal Provider Number
146132
Provider Name
SOUTH SUBURBAN REHAB CENTER
Provider Address
19000 HALSTED
HOMEWOOD, IL 60430
Provider Phone Number
(708) 957-9200
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
259
Number of Residents in Certified Beds
164
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTH SUBURBAN REHABILITATION CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2009-02-13
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
1
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
2
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.06006
Reported LPN Staffing Hours per Resident per Day
0.99939
Reported RN Staffing Hours per Resident per Day
0.43262
Reported Licensed Staffing Hours per Resident per Day
1.43201
Reported Total Nurse Staffing Hours per Resident per Day
3.49207
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03659
Expected CNA Staffing Hours per Resident per Day
2.43006
Expected LPN Staffing Hours per Resident per Day
0.65156
Expected RN Staffing Hours per Resident per Day
1.02154
Expected Total Nurse Staffing Hours per Resident per Day
4.10316
Adjusted CNA Staffing Hours per Resident per Day
2.08010
Adjusted LPN Staffing Hours per Resident per Day
1.27310
Adjusted RN Staffing Hours per Resident per Day
0.31644
Adjusted Total Nurse Staffing Hours per Resident per Day
3.43057
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
8
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
197
Cycle 1 Standard Survey Health Date
2014-09-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
197
Cycle 2 Total Number of Health Deficiencies
11
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
5
Cycle 2 Health Deficiency Score
40
Cycle 2 Standard Health Survey Date
2013-11-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
40
Cycle 3 Total Number of Health Deficiencies
17
Cycle 3 Number of Standard Health Deficiencies
11
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
88
Cycle 3 Standard Health Survey Date
2012-12-20
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
88
Total Weighted Health Survey Score
126.50000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
31
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
1
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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