South Holland Manor Hth & Rhb
South Holland Manor Hth & Rhb Information
| Facility Name | South Holland Manor Hth & Rhb |
| Location | 2145 East 170th Street, South Holland, IL 60473 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-895-3255 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 216 |
| Average Number of Residents | 97.1 |
| 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 | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | SOUTH HOLLAND MANOR HRC LLC |
| Ownership Type | For profit - Individual |
| Date First Approved | 1989-02-23 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.97167 |
| Reported LPN Staffing Hours per Resident per Day | 0.87162 |
| Reported RN Staffing - Hours per Resident per Day | 0.93597 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.80759 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.77926 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.1348 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.20875 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.8638 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.41224 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.48478 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.4576 |
| Total Weighted Health Survey Score for three cycles | 68 |
| Rating cycle 1 Standard Survey Health Date | 2019-07-18 |
| Rating cycle 1 - Health Deficiency Score | 6 |
| Rating cycle 1 - Total Health Inspection Score | 56 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-09-21 |
| Rating cycle 2 - Health Deficiency Score | 56 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-10-19 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 12 |
| Number of Substantiated Complaints | 12 |
| Number of Fines | 2 |
| Total Amount of Fines (in Dollars) | 21076 |
| Total Number of Penalties | 2 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |