Terraces At The Clare - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
146141
Provider Name
TERRACES AT THE CLARE
Provider Address
55 EAST PEARSON
CHICAGO, IL 60611
CHICAGO, IL 60611
Provider Phone Number
(312) 951-5690
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
48
Number of Residents in Certified Beds
29
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
CHICAGO SENIOR CARE, LLC
Date First Approved to Provide Medicare and Medicaid services
2010-08-31
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
4
Health Inspection Rating Footnote
QM Rating
1
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
2.89310
Reported LPN Staffing Hours per Resident per Day
0.00000
Reported RN Staffing Hours per Resident per Day
2.34138
Reported Licensed Staffing Hours per Resident per Day
2.34138
Reported Total Nurse Staffing Hours per Resident per Day
5.23448
Reported Physical Therapist Staffing Hours per Resident Per Day
0.21724
Expected CNA Staffing Hours per Resident per Day
2.37446
Expected LPN Staffing Hours per Resident per Day
0.64174
Expected RN Staffing Hours per Resident per Day
1.22433
Expected Total Nurse Staffing Hours per Resident per Day
4.24053
Adjusted CNA Staffing Hours per Resident per Day
2.98965
Adjusted LPN Staffing Hours per Resident per Day
0.00000
Adjusted RN Staffing Hours per Resident per Day
1.42892
Adjusted Total Nurse Staffing Hours per Resident per Day
4.97572
Cycle 1 Total Number of Health Deficiencies
1
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
0
Cycle 1 Health Deficiency Score
4
Cycle 1 Standard Survey Health Date
2014-05-02
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
4
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
36
Cycle 2 Standard Health Survey Date
2013-04-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
36
Cycle 3 Total Number of Health Deficiencies
1
Cycle 3 Number of Standard Health Deficiencies
0
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
4
Cycle 3 Standard Health Survey Date
2012-06-21
Cycle 3 Number of Health Revisits
0
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
4
Total Weighted Health Survey Score
14.66700
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
1
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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