Southpoint Nursing & Rehab Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145914
Provider Name
SOUTHPOINT NURSING & REHAB CENTER
Provider Address
1010 WEST 95TH STREET
CHICAGO, IL 60643
CHICAGO, IL 60643
Provider Phone Number
(773) 298-1177
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
228
Number of Residents in Certified Beds
176
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SOUTHPOINT NURSING AND REHABILITATION CENTER LLC
Date First Approved to Provide Medicare and Medicaid services
1996-10-29
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
1
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
2.09858
Reported LPN Staffing Hours per Resident per Day
0.81278
Reported RN Staffing Hours per Resident per Day
0.49460
Reported Licensed Staffing Hours per Resident per Day
1.30739
Reported Total Nurse Staffing Hours per Resident per Day
3.40596
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03239
Expected CNA Staffing Hours per Resident per Day
2.50401
Expected LPN Staffing Hours per Resident per Day
0.69539
Expected RN Staffing Hours per Resident per Day
1.17768
Expected Total Nurse Staffing Hours per Resident per Day
4.37709
Adjusted CNA Staffing Hours per Resident per Day
2.05641
Adjusted LPN Staffing Hours per Resident per Day
0.97011
Adjusted RN Staffing Hours per Resident per Day
0.31381
Adjusted Total Nurse Staffing Hours per Resident per Day
3.13658
Cycle 1 Total Number of Health Deficiencies
18
Cycle 1 Number of Standard Health Deficiencies
13
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
132
Cycle 1 Standard Survey Health Date
2014-08-21
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
132
Cycle 2 Total Number of Health Deficiencies
27
Cycle 2 Number of Standard Health Deficiencies
18
Cycle 2 Number of Complaint Health Deficiencies
11
Cycle 2 Health Deficiency Score
211
Cycle 2 Standard Health Survey Date
2013-09-12
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
211
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
36
Cycle 3 Standard Health Survey Date
2012-07-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
36
Total Weighted Health Survey Score
142.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
31
Number of Fines
1
Total Amount of Fines in Dollars
4550
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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