Warren Park Health & Living Ctr - Chicago Nursing Home
General Information
UPDATEFederal Provider Number
145806
Provider Name
WARREN PARK HEALTH & LIVING CTR
Provider Address
6700 NORTH DAMEN AVENUE
CHICAGO, IL 60645
CHICAGO, IL 60645
Provider Phone Number
(773) 465-5000
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Partnership
Number of Certified Beds
127
Number of Residents in Certified Beds
115
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
WARREN PARK HEALTH AND LIVING CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1994-09-01
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
4
Health Inspection Rating Footnote
QM Rating
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.43478
Reported LPN Staffing Hours per Resident per Day
0.35783
Reported RN Staffing Hours per Resident per Day
0.27826
Reported Licensed Staffing Hours per Resident per Day
0.63609
Reported Total Nurse Staffing Hours per Resident per Day
2.07087
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02174
Expected CNA Staffing Hours per Resident per Day
1.78342
Expected LPN Staffing Hours per Resident per Day
0.53559
Expected RN Staffing Hours per Resident per Day
0.84509
Expected Total Nurse Staffing Hours per Resident per Day
3.16410
Adjusted CNA Staffing Hours per Resident per Day
1.97403
Adjusted LPN Staffing Hours per Resident per Day
0.55453
Adjusted RN Staffing Hours per Resident per Day
0.24603
Adjusted Total Nurse Staffing Hours per Resident per Day
2.63819
Cycle 1 Total Number of Health Deficiencies
2
Cycle 1 Number of Standard Health Deficiencies
1
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
8
Cycle 1 Standard Survey Health Date
2015-01-30
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
8
Cycle 2 Total Number of Health Deficiencies
4
Cycle 2 Number of Standard Health Deficiencies
4
Cycle 2 Number of Complaint Health Deficiencies
0
Cycle 2 Health Deficiency Score
16
Cycle 2 Standard Health Survey Date
2014-02-14
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
16
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
68
Cycle 3 Standard Health Survey Date
2012-12-19
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
68
Total Weighted Health Survey Score
20.66700
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
2
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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