Swedish Covenant Hospital - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145573
Provider Name
SWEDISH COVENANT HOSPITAL
Provider Address
5145 NORTH CALIFORNIA
CHICAGO, IL 60625
CHICAGO, IL 60625
Provider Phone Number
7738788200
Provider SSA County
141
Provider County Name
Cook
Ownership Type
Non profit - Church related
Number of Certified Beds
46
Number of Residents in Certified Beds
17
Provider Type
Medicare
Provider Resides in Hospital
Y
Legal Business Name
Legal Business Name Not Available
Date First Approved to Provide Medicare and Medicaid services
1987-04-22
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
5
Overall Rating Footnote
Health Inspection Rating
5
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
5
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
2.78824
Reported LPN Staffing Hours per Resident per Day
1.41176
Reported RN Staffing Hours per Resident per Day
2.85588
Reported Licensed Staffing Hours per Resident per Day
4.26765
Reported Total Nurse Staffing Hours per Resident per Day
7.05588
Reported Physical Therapist Staffing Hours per Resident Per Day
0.33529
Expected CNA Staffing Hours per Resident per Day
2.23011
Expected LPN Staffing Hours per Resident per Day
0.90500
Expected RN Staffing Hours per Resident per Day
2.10503
Expected Total Nurse Staffing Hours per Resident per Day
5.24015
Adjusted CNA Staffing Hours per Resident per Day
3.06779
Adjusted LPN Staffing Hours per Resident per Day
1.29476
Adjusted RN Staffing Hours per Resident per Day
1.01372
Adjusted Total Nurse Staffing Hours per Resident per Day
5.42762
Cycle 1 Total Number of Health Deficiencies
3
Cycle 1 Number of Standard Health Deficiencies
3
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
12
Cycle 1 Standard Survey Health Date
2015-03-12
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
12
Cycle 2 Total Number of Health Deficiencies
1
Cycle 2 Number of Standard Health Deficiencies
1
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
4
Cycle 2 Standard Health Survey Date
2014-01-29
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
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2012-12-14
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
10.66700
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
Foster Health & Rehab Center
2840 West Foster Avenue |
CHICAGO IL 60625 | 0.1 mile away
Continental Nursing & Rehab Center
5336 North Western Avenue |
CHICAGO IL 60625 | 0.6 mile away
Ambassador Nursing & Rehab Center
4900 North Bernard |
CHICAGO IL 60625 | 0.9 mile away
Balmoral Home
2055 West Balmoral Avenue |
CHICAGO IL 60625 | 1 mile away
Harmony Nursing & Rehab Center
3919 West Foster Avenue |
CHICAGO IL 60625 | 1.4 miles away
Astoria Place Living & Rehab
6300 North California Avenue |
CHICAGO IL 60659 | 1.4 miles away
Fairmont Care Centre
5061 North Pulaski Road |
CHICAGO IL 60630 | 1.4 miles away
Wesley Place
1415 West Foster Avenue |
CHICAGO IL 60640 | 1.8 miles away
St Paul's House & Hlth Cr Ctr
3800 North California Avenue |
CHICAGO IL 60618 | 1.8 miles away
Park View Rehab Center
5888 North Ridge |
CHICAGO IL 60660 | 1.8 miles away
Elston Nursing & Rehab Centre
4340 North Keystone |
CHICAGO IL 60641 | 1.9 miles away
Peterson Park Health Care Ctr
6141 North Pulaski Road |
CHICAGO IL 60646 | 1.9 miles away
Brightview Healthcare & Rehab
4538 North Beacon |
CHICAGO IL 60640 | 2 miles away
Ridgeview Rehab & Nursing Center
6450 North Ridge Blvd |
CHICAGO IL 60626 | 2 miles away
All American Nursing Home
5448 North Broadway Street |
CHICAGO IL 60640 | 2.1 miles away
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