Villa At Evergreen Park,the - Evergreen Park Nursing Home
General Information
UPDATEFederal Provider Number
145734
Provider Name
VILLA AT EVERGREEN PARK,THE
Provider Address
10124 SOUTH KEDZIE
EVERGREEN PARK, IL 60805
EVERGREEN PARK, IL 60805
Provider Phone Number
(708) 907-7000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
242
Number of Residents in Certified Beds
151
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVERGREEN LIVING & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1992-07-15
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
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
2
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
1.67649
Reported LPN Staffing Hours per Resident per Day
0.74404
Reported RN Staffing Hours per Resident per Day
0.93411
Reported Licensed Staffing Hours per Resident per Day
1.67815
Reported Total Nurse Staffing Hours per Resident per Day
3.35464
Reported Physical Therapist Staffing Hours per Resident Per Day
0.22881
Expected CNA Staffing Hours per Resident per Day
2.35892
Expected LPN Staffing Hours per Resident per Day
0.69692
Expected RN Staffing Hours per Resident per Day
1.36360
Expected Total Nurse Staffing Hours per Resident per Day
4.41944
Adjusted CNA Staffing Hours per Resident per Day
1.74385
Adjusted LPN Staffing Hours per Resident per Day
0.88611
Adjusted RN Staffing Hours per Resident per Day
0.51186
Adjusted Total Nurse Staffing Hours per Resident per Day
3.05971
Cycle 1 Total Number of Health Deficiencies
13
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
9
Cycle 1 Health Deficiency Score
88
Cycle 1 Standard Survey Health Date
2015-03-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
88
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
8
Cycle 2 Number of Complaint Health Deficiencies
7
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2014-05-16
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
8
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
28
Cycle 3 Standard Health Survey Date
2013-04-12
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
28
Total Weighted Health Survey Score
64.66700
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
21
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
Reviews: Be the first to review this provider.
Share your experience with Villa At Evergreen Park,the. You can help others by writing a review.
Ask the Community
Connect, Seek Advice, Share Knowledge
Nursiong Homes Nearby
Mercy Circle
3659 West 99th Street |
CHICAGO IL 60655 | 0.8 mile away
Manorcare Of Oak Lawn East
9401 South Kostner Avenue |
OAK LAWN IL 60453 | 1.7 miles away
Renaissance At 87th Street,the
2940 West 87th Street |
CHICAGO IL 60652 | 1.9 miles away
Smith Village
2320 West 113th Place |
CHICAGO IL 60643 | 1.9 miles away
Belhaven Nursing & Rehab Center
11401 South Oakley Avenue |
CHICAGO IL 60643 | 2 miles away
Bria Of Forest Edge
8001 South Western Avenue |
CHICAGO IL 60620 | 2.9 miles away
Southpoint Nursing & Rehab Center
1010 West 95th Street |
CHICAGO IL 60643 | 2.9 miles away
Renaissance Park South
10935 South Halsted Street |
CHICAGO IL 60628 | 3.3 miles away
Brentwood Sub-acute Healthcare Center
5400 West 87th Street |
BURBANK IL 60459 | 3.3 miles away
Oak Lawn Respiratory & Rehab
9525 South Mayfield |
OAK LAWN IL 60453 | 3.4 miles away
Manorcare Of Oak Lawn West
6300 West 95th Street |
OAK LAWN IL 60453 | 4 miles away
Aperion Care Oak Lawn
9401 South Ridgeland Avenue |
OAK LAWN IL 60453 | 4.1 miles away
Aperion Care Burbank
5701 West 79th Street |
BURBANK IL 60459 | 4.2 miles away
Lexington Of Chicago Ridge
10300 Southwest Highway |
CHICAGO RIDGE IL 60415 | 4.4 miles away
Chicago Ridge Nursing Center
10602 Southwest Highway |
CHICAGO RIDGE IL 60415 | 4.8 miles away