Countryside Nursing & Rehab Ctr
Countryside Nursing & Rehab Ctr Information
| Facility Name | Countryside Nursing & Rehab Ctr |
| Location | 1635 East 154th Street, Dolton, IL 60419 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-841-9550 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 197 |
| Average Number of Residents | 171.9 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | COUNTRYSIDE NURSING AND REHABILITATION CENTER LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1994-08-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 0.76705 |
| Reported LPN Staffing Hours per Resident per Day | 0.57139 |
| Reported RN Staffing - Hours per Resident per Day | 0.22165 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.79304 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 1.56009 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.016 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.19368 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.8492 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.52059 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.56346 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 1.39579 |
| Total Weighted Health Survey Score for three cycles | 118 |
| Rating cycle 1 Standard Survey Health Date | 2019-08-15 |
| Rating cycle 1 - Health Deficiency Score | 15 |
| Rating cycle 1 - Total Health Inspection Score | 92 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-19 |
| Rating cycle 2 - Health Deficiency Score | 92 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-03 |
| Rating cycle 3 - Health Deficiency Score | 68 |
| Rating cycle 3 - Total Health Inspection Score | 68 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 17 |
| Number of Substantiated Complaints | 17 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |