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ELEVATE CARE SOUTH HOLLAND

Overall Rating

Cited for abuse

Address

16300 Wausau Street

South Holland, IL 60473

Contact

7085965500

Certification Date

1990-05-03

Details

CMS Certification Number

145671

Ownership Type

For profit - Individual

Number of Certified Beds

171

Average Number of Residents per Day

126.6

Provider Type

Medicare and Medicaid

Legal Business Name

ELEVATE CARE SOUTH HOLLAND LLC

Affiliated Entity Name

ELEVATE CARE

Affiliated Entity ID

197

Ratings

Health Inspection Rating

1

Quality Measure Rating

2

Staffing Rating

1

Staffing

Reported Nurse Aide Staffing Hours per Resident per Day

1.89510

Reported LPN Staffing Hours per Resident per Day

1.10271

Reported RN Staffing Hours per Resident per Day

0.29332

Reported Total Nurse Staffing Hours per Resident per Day

3.29113

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

2.81616

Registered Nurse Hours per Resident per Day on the Weekend

0.13219

Reported Physical Therapist Staffing Hours per Resident Per Day

0.02688

Quality Measures

Long-Stay Quality Measure Rating

2

Short-Stay Quality Measure Rating

3

Inspections

Total Weighted Health Survey Score

207.500

Number of Facility Reported Incidents

6

Number of Substantiated Complaints

33

Number of Citations from Infection Control Inspections

Health Inspections

Rating Cycle 1

Standard Health Survey Date

2024-02-23

Total Number of Health Deficiencies

10

Number of Standard Health Deficiencies

5

Number of Complaint Health Deficiencies

7

Health Deficiency Score

163

Number of Health Revisits

1

Health Revisit Score

0

Total Health Score

163

Rating Cycle 2

Standard Health Survey Date

2022-10-28

Total Number of Health Deficiencies

20

Number of Standard Health Deficiencies

8

Number of Complaint Health Deficiencies

12

Health Deficiency Score

172

Number of Health Revisits

2

Health Revisit Score

86

Total Health Score

258

Rating Cycle 3

Standard Health Survey Date

2021-11-05

Total Number of Health Deficiencies

17

Number of Standard Health Deficiencies

6

Number of Complaint Health Deficiencies

11

Health Deficiency Score

160

Number of Health Revisits

2

Health Revisit Score

80

Total Health Score

240

Penalties

Number of Fines

9

Total Amount of Fines in Dollars

323149.23

Number of Payment Denials

2

Total Number of Penalties

11