Overall Rating
Cited for abuse
Address
725 West Montrose Avenue
Chicago, IL 60613
Contact
7739291700
Certification Date
1990-06-13
CMS Certification Number
145679
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
244
Average Number of Residents per Day
180.2
Provider Type
Medicare and Medicaid
Legal Business Name
CARLTON SKILLED NURSING FACILITY LLC
Affiliated Entity Name
LEGACY HEALTHCARE
Affiliated Entity ID
306
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
2
Reported Nurse Aide Staffing Hours per Resident per Day
1.51886
Reported LPN Staffing Hours per Resident per Day
0.78287
Reported RN Staffing Hours per Resident per Day
0.66926
Reported Total Nurse Staffing Hours per Resident per Day
2.97099
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.59098
Registered Nurse Hours per Resident per Day on the Weekend
0.53484
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02765
Long-Stay Quality Measure Rating
4
Short-Stay Quality Measure Rating
2
Total Weighted Health Survey Score
184.833
Number of Facility Reported Incidents
7
Number of Substantiated Complaints
17
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-02-03
Total Number of Health Deficiencies
25
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
17
Health Deficiency Score
311
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
311
Standard Health Survey Date
2021-12-16
Total Number of Health Deficiencies
10
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
3
Health Deficiency Score
60
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
60
Standard Health Survey Date
2020-10-29
Total Number of Health Deficiencies
7
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
2
Health Deficiency Score
56
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
56
Number of Fines
2
Total Amount of Fines in Dollars
320395.00
Number of Payment Denials
1
Total Number of Penalties
3