Southview Manor Nursing Center - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
146161
Provider Name
SOUTHVIEW MANOR NURSING CENTER
Provider Address
3311 S. MICHIGAN AVE.
CHICAGO, IL 60616
CHICAGO, IL 60616
Provider Phone Number
(312) 326-9101
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
200
Number of Residents in Certified Beds
189
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SV CARE LLC
Date First Approved to Provide Medicare and Medicaid services
2013-06-02
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
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
5
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
0.95238
Reported LPN Staffing Hours per Resident per Day
0.54418
Reported RN Staffing Hours per Resident per Day
0.30212
Reported Licensed Staffing Hours per Resident per Day
0.84630
Reported Total Nurse Staffing Hours per Resident per Day
1.79868
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03016
Expected CNA Staffing Hours per Resident per Day
1.63653
Expected LPN Staffing Hours per Resident per Day
0.48785
Expected RN Staffing Hours per Resident per Day
0.66201
Expected Total Nurse Staffing Hours per Resident per Day
2.78639
Adjusted CNA Staffing Hours per Resident per Day
1.42794
Adjusted LPN Staffing Hours per Resident per Day
0.92583
Adjusted RN Staffing Hours per Resident per Day
0.34100
Adjusted Total Nurse Staffing Hours per Resident per Day
2.60204
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
6
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2014-06-20
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
36
Cycle 2 Total Number of Health Deficiencies
9
Cycle 2 Number of Standard Health Deficiencies
3
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-04-18
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
0
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
0
Cycle 3 Standard Health Survey Date
0000-00-00
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
0
Total Weighted Health Survey Score
40.80000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
7
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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