Nursing Home

CLARK MANOR

Overall Rating

Cited for abuse

Address

7433 North Clark Street

Chicago, IL 60626

Contact

7733388778

Certification Date

1984-08-01

Details

CMS Certification Number

145507

Ownership Type

For profit - Corporation

Number of Certified Beds

267

Average Number of Residents per Day

248.7

Provider Type

Medicare and Medicaid

Legal Business Name

CLARK SKILLED NURSING FACILITY LLC

Affiliated Entity Name

LEGACY HEALTHCARE

Affiliated Entity ID

306

Ratings

Health Inspection Rating

2

Quality Measure Rating

4

Staffing Rating

3

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.37508

Reported LPN Staffing Hours per Resident per Day

0.39331

Reported RN Staffing Hours per Resident per Day

0.56464

Reported Total Nurse Staffing Hours per Resident per Day

2.33303

Total Number of Nurse Staff Hours per Resident per Day on the Weekend

2.06096

Registered Nurse Hours per Resident per Day on the Weekend

0.47964

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02183

Quality Measures

Long-Stay Quality Measure Rating

5

Short-Stay Quality Measure Rating

4

Inspections

Total Weighted Health Survey Score

104.000

Number of Facility Reported Incidents

8

Number of Substantiated Complaints

9

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2023-06-02

Total Number of Health Deficiencies

12

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

6

Health Deficiency Score

124

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

124

Rating Cycle 2

Standard Health Survey Date

2022-09-21

Total Number of Health Deficiencies

13

Number of Standard Health Deficiencies

7

Number of Complaint Health Deficiencies

6

Health Deficiency Score

108

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

108

Rating Cycle 3

Standard Health Survey Date

2021-08-04

Total Number of Health Deficiencies

4

Number of Standard Health Deficiencies

2

Number of Complaint Health Deficiencies

2

Health Deficiency Score

36

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

36

Penalties

Number of Fines

2

Total Amount of Fines in Dollars

88042.50

Number of Payment Denials

1

Total Number of Penalties

3