Villa At Windsor Park - Chicago Nursing Home

General Information

UPDATE
Federal Provider Number
145970
Provider Name
VILLA AT WINDSOR PARK
Provider Address
2649 EAST 75TH ST
CHICAGO, IL 60649
Provider Phone Number
(773) 356-9300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
240
Number of Residents in Certified Beds
183
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
VILLA AT WINDSOR PARK NURSING AND LIVING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-06-16
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
4
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
4
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
2.40956
Reported LPN Staffing Hours per Resident per Day
0.76503
Reported RN Staffing Hours per Resident per Day
0.93689
Reported Licensed Staffing Hours per Resident per Day
1.70191
Reported Total Nurse Staffing Hours per Resident per Day
4.11148
Reported Physical Therapist Staffing Hours per Resident Per Day
0.17951
Expected CNA Staffing Hours per Resident per Day
2.61718
Expected LPN Staffing Hours per Resident per Day
0.62734
Expected RN Staffing Hours per Resident per Day
1.03585
Expected Total Nurse Staffing Hours per Resident per Day
4.28037
Adjusted CNA Staffing Hours per Resident per Day
2.25905
Adjusted LPN Staffing Hours per Resident per Day
1.01217
Adjusted RN Staffing Hours per Resident per Day
0.67582
Adjusted Total Nurse Staffing Hours per Resident per Day
3.87186
Cycle 1 Total Number of Health Deficiencies
6
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
36
Cycle 1 Standard Survey Health Date
2015-02-06
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
14
Cycle 2 Number of Standard Health Deficiencies
13
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
104
Cycle 2 Standard Health Survey Date
2014-01-23
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
104
Cycle 3 Total Number of Health Deficiencies
4
Cycle 3 Number of Standard Health Deficiencies
4
Cycle 3 Number of Complaint Health Deficiencies
1
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
56.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
8
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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