Clark Manor
Clark Manor Information
| Facility Name | Clark Manor |
| Location | 7433 North Clark Street, Chicago, IL 60626 |
| County (SSA Code) | Cook (141) |
| Phone Number | 773-338-8778 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 267 |
| Average Number of Residents | 238.5 |
| 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 | CLARK SKILLED NURSING FACILITY LLC |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1984-08-01 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.44602 |
| Reported LPN Staffing Hours per Resident per Day | 0.56114 |
| Reported RN Staffing - Hours per Resident per Day | 0.50835 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.0695 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.51552 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.02393 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.16407 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.80028 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.49266 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.45701 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.31991 |
| Total Weighted Health Survey Score for three cycles | 97.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-12 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 128 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-05-17 |
| Rating cycle 2 - Health Deficiency Score | 128 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-04-13 |
| Rating cycle 3 - Health Deficiency Score | 76 |
| Rating cycle 3 - Total Health Inspection Score | 76 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 10 |
| Number of Substantiated Complaints | 10 |
| Number of Fines | 1 |
| Total Amount of Fines (in Dollars) | 7296 |
| Total Number of Penalties | 1 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |