Avantara Evergreen Park
Avantara Evergreen Park Information
| Facility Name | Avantara Evergreen Park |
| Location | 10124 South Kedzie, Evergreen Park, IL 60805 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-907-7000 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 242 |
| Average Number of Residents | 118.2 |
| 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 | EVERGREEN LIVING & REHAB CENTER, LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1992-07-15 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.96491 |
| Reported LPN Staffing Hours per Resident per Day | 1.27835 |
| Reported RN Staffing - Hours per Resident per Day | 0.58767 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 1.86602 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.83093 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.15086 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.24562 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.90609 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.60484 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.75655 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.25131 |
| Total Weighted Health Survey Score for three cycles | 47.333 |
| Rating cycle 1 Standard Survey Health Date | 2020-02-06 |
| Rating cycle 1 - Health Deficiency Score | 7 |
| Rating cycle 1 - Total Health Inspection Score | 80 |
| Date of Rating cycle 2 Standard Health Survey Date | 2019-04-18 |
| Rating cycle 2 - Health Deficiency Score | 80 |
| Date of Rating cycle 3 Standard Health Survey Date | 2018-03-16 |
| Rating cycle 3 - Health Deficiency Score | 28 |
| Rating cycle 3 - Total Health Inspection Score | 28 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 27 |
| Number of Substantiated Complaints | 27 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |