Overall Rating
Address
2145 East 170th Street
South Holland, IL 60473
Contact
7088953255
Certification Date
1989-02-23
CMS Certification Number
145608
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
216
Average Number of Residents per Day
138.4
Provider Type
Medicare and Medicaid
Legal Business Name
SOUTH HOLLAND MANOR HRC LLC
Affiliated Entity Name
EXTENDED CARE CLINICAL
Affiliated Entity ID
219
Health Inspection Rating
3
Quality Measure Rating
2
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
2.23327
Reported LPN Staffing Hours per Resident per Day
0.50199
Reported RN Staffing Hours per Resident per Day
0.96409
Reported Total Nurse Staffing Hours per Resident per Day
3.69935
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.49727
Registered Nurse Hours per Resident per Day on the Weekend
0.81656
Reported Physical Therapist Staffing Hours per Resident Per Day
0.04645
Long-Stay Quality Measure Rating
1
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
90.000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
30
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-10-20
Total Number of Health Deficiencies
16
Number of Standard Health Deficiencies
7
Number of Complaint Health Deficiencies
11
Health Deficiency Score
92
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
92
Standard Health Survey Date
2022-09-23
Total Number of Health Deficiencies
17
Number of Standard Health Deficiencies
14
Number of Complaint Health Deficiencies
5
Health Deficiency Score
80
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
80
Standard Health Survey Date
2021-08-06
Total Number of Health Deficiencies
13
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
9
Health Deficiency Score
104
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
104
Number of Fines
2
Total Amount of Fines in Dollars
71171.75
Number of Payment Denials
1
Total Number of Penalties
3