Hickory Nursing Pavilion
Hickory Nursing Pavilion Information
| Facility Name | Hickory Nursing Pavilion |
| Location | 9246 South Roberts Road, Hickory Hills, IL 60457 |
| County (SSA Code) | Cook (141) |
| Phone Number | 708-598-4040 |
| Certification(s) | Medicare and Medicaid |
| Number of Beds | 74 |
| Average Number of Residents | 66.5 |
| CCRC Facility? | No |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | Yes |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | HICKORY NURSING PAVILION |
| Ownership Type | For profit - Corporation |
| Date First Approved | 1996-02-05 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 1.03452 |
| Reported LPN Staffing Hours per Resident per Day | 0.4173 |
| Reported RN Staffing - Hours per Resident per Day | 0.40801 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 0.82531 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 1.85983 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.0314 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 1.71603 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.6779 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.28746 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.68139 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 2.21134 |
| Total Weighted Health Survey Score for three cycles | 120.667 |
| Rating cycle 1 Standard Survey Health Date | 2019-12-11 |
| Rating cycle 1 - Health Deficiency Score | 21 |
| Rating cycle 1 - Total Health Inspection Score | 76 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-11-08 |
| Rating cycle 2 - Health Deficiency Score | 76 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-12-21 |
| Rating cycle 3 - Health Deficiency Score | 80 |
| Rating cycle 3 - Total Health Inspection Score | 80 |
| Number of Facility-Reported Incidents | 1 |
| Number of Substantiated Complaints | 18 |
| Number of Substantiated Complaints | 18 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |