Symphony Of Crestwood - Crestwood Nursing Home
General Information
UPDATEFederal Provider Number
145718
Provider Name
SYMPHONY OF CRESTWOOD
Provider Address
14255 SOUTH CICERO AVENUE
CRESTWOOD, IL 60445
CRESTWOOD, IL 60445
Provider Phone Number
7083710400
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Corporation
Number of Certified Beds
303
Number of Residents in Certified Beds
213
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
SYMPHONY CRESTWOOD LLC
Date First Approved to Provide Medicare and Medicaid services
1992-06-01
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
2
Overall Rating Footnote
Health Inspection Rating
1
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
3
Staffing Rating Footnote
RN Staffing Rating
3
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.92347
Reported LPN Staffing Hours per Resident per Day
0.91385
Reported RN Staffing Hours per Resident per Day
0.72934
Reported Licensed Staffing Hours per Resident per Day
1.64319
Reported Total Nurse Staffing Hours per Resident per Day
3.56666
Reported Physical Therapist Staffing Hours per Resident Per Day
0.11808
Expected CNA Staffing Hours per Resident per Day
2.47316
Expected LPN Staffing Hours per Resident per Day
0.65783
Expected RN Staffing Hours per Resident per Day
1.14462
Expected Total Nurse Staffing Hours per Resident per Day
4.27561
Adjusted CNA Staffing Hours per Resident per Day
1.90834
Adjusted LPN Staffing Hours per Resident per Day
1.15302
Adjusted RN Staffing Hours per Resident per Day
0.47611
Adjusted Total Nurse Staffing Hours per Resident per Day
3.36253
Cycle 1 Total Number of Health Deficiencies
30
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
26
Cycle 1 Health Deficiency Score
279
Cycle 1 Standard Survey Health Date
2014-10-17
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
279
Cycle 2 Total Number of Health Deficiencies
22
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
15
Cycle 2 Health Deficiency Score
156
Cycle 2 Standard Health Survey Date
2013-11-21
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
14
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-09-27
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
204.83300
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
58
Number of Fines
1
Total Amount of Fines in Dollars
30648
Number of Payment Denials
1
Total Number of Penalties
2
Location
Processing Date
2015-06-01
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