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Countryside Nursing & Rehab Ctr


Countryside Nursing & Rehab Ctr Information

     
Facility Name Countryside Nursing & Rehab Ctr
Location 1635 East 154th Street, Dolton, IL 60419
County (SSA Code) Cook (141)
Phone Number 708-841-9550
Certification(s)Medicare and Medicaid
Number of Beds197
Average Number of Residents171.9
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 InstalledYes
Located In Hospital No
Resident Family CouncilResident

Provider Business NameCOUNTRYSIDE NURSING AND REHABILITATION CENTER LLC
Ownership TypeFor profit - Corporation
Date First Approved1994-08-01

Reported Nurse Aide Staffing Hours per Resident per Day0.76705
Reported LPN Staffing Hours per Resident per Day0.57139
Reported RN Staffing - Hours per Resident per Day0.22165
Reported Licensed Staffing - Hours per Resident per Day (RN + LPN)0.79304
Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)1.56009
Reported Physical Therapy Staffing - Hours per Resident Per Day0.016
Case-Mix Nurse Aide Staffing - Hours per Resident per Day2.19368
Case-Mix LPN Staffing - Hours per Resident per Day0.8492
Case-Mix RN Staffing - Hours per Resident per Day0.52059
Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)3.56346
Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN)1.39579

Total Weighted Health Survey Score for three cycles118
Rating cycle 1 Standard Survey Health Date2019-08-15
Rating cycle 1 - Health Deficiency Score15
Rating cycle 1 - Total Health Inspection Score92
Date of Rating cycle 2 Standard Health Survey Date2018-09-19
Rating cycle 2 - Health Deficiency Score92
Date of Rating cycle 3 Standard Health Survey Date2017-10-03
Rating cycle 3 - Health Deficiency Score68
Rating cycle 3 - Total Health Inspection Score68

Number of Facility-Reported Incidents1
Number of Substantiated Complaints17
Number of Substantiated Complaints17
Total Number of Penalties0

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