Gottlieb Memorial Hospital
Gottlieb Memorial Hospital Information
| Facility Name | Gottlieb Memorial Hospital |
| Location | 701 West North Avenue, Melrose Park, IL 60160 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-450-4908 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 32 |
| Average Number of Residents | 14.2 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Short Stay Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | None |
| Provider Business Name | GOTTLIEB MEMORIAL HOSPITAL |
| Ownership Type | For profit - Partnership |
| Date First Approved | 1985-06-10 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.79305 |
| Reported LPN Staffing Hours per Resident per Day | 1.11332 |
| Reported RN Staffing - Hours per Resident per Day | 3.34382 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 4.45714 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 7.25019 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.37664 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.1977 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 1.00811 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.58027 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.78609 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 6.10523 |
| Total Weighted Health Survey Score for three cycles | 9.333 |
| Rating cycle 1 Standard Survey Health Date | 2019-06-12 |
| Rating cycle 1 - Health Deficiency Score | 1 |
| Rating cycle 1 - Total Health Inspection Score | 20 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-07-12 |
| Rating cycle 2 - Health Deficiency Score | 20 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-08-30 |
| Rating cycle 3 - Health Deficiency Score | 4 |
| Rating cycle 3 - Total Health Inspection Score | 4 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |