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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 Beds32
Average Number of Residents14.2
CCRC Facility? No
Medicare Overall Rating
Survey Rating
Quality Rating
Short Stay Quality Rating

Abuse Flag No
Sprinklers InstalledYes
Located In Hospital No
Resident Family CouncilNone

Provider Business NameGOTTLIEB MEMORIAL HOSPITAL
Ownership TypeFor profit - Partnership
Date First Approved1985-06-10

Reported Nurse Aide Staffing Hours per Resident per Day2.79305
Reported LPN Staffing Hours per Resident per Day1.11332
Reported RN Staffing - Hours per Resident per Day3.34382
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 Day0.37664
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.1977
Case-Mix LPN Staffing - Hours per Resident per Day1.00811
Case-Mix RN Staffing - Hours per Resident per Day0.58027
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 cycles9.333
Rating cycle 1 Standard Survey Health Date2019-06-12
Rating cycle 1 - Health Deficiency Score1
Rating cycle 1 - Total Health Inspection Score20
Date of Rating cycle 2 Standard Health Survey Date2018-07-12
Rating cycle 2 - Health Deficiency Score20
Date of Rating cycle 3 Standard Health Survey Date2017-08-30
Rating cycle 3 - Health Deficiency Score4
Rating cycle 3 - Total Health Inspection Score4

Number of Facility-Reported Incidents0
Number of Substantiated Complaints0
Number of Substantiated Complaints0
Total Number of Penalties0

Data Filing Date2020-10-01
Page Last Updated2020-11-28