Overall Rating
Address
10124 South Kedzie
Evergreen Park, IL 60805
Contact
7089077000
Certification Date
1992-07-15
CMS Certification Number
145734
Ownership Type
For profit - Individual
Number of Certified Beds
242
Average Number of Residents per Day
148.3
Provider Type
Medicare and Medicaid
Legal Business Name
EVERGREEN LIVING & REHAB CENTER, LLC
Affiliated Entity Name
LEGACY HEALTHCARE
Affiliated Entity ID
306
Health Inspection Rating
1
Quality Measure Rating
2
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.94622
Reported LPN Staffing Hours per Resident per Day
1.01509
Reported RN Staffing Hours per Resident per Day
0.64419
Reported Total Nurse Staffing Hours per Resident per Day
3.60550
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
3.02354
Registered Nurse Hours per Resident per Day on the Weekend
0.44706
Reported Physical Therapist Staffing Hours per Resident Per Day
0.07830
Long-Stay Quality Measure Rating
2
Short-Stay Quality Measure Rating
3
Total Weighted Health Survey Score
190.000
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
43
Number of Citations from Infection Control Inspections
5
Standard Health Survey Date
2023-04-06
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
12
Number of Complaint Health Deficiencies
12
Health Deficiency Score
184
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
184
Standard Health Survey Date
2022-05-13
Total Number of Health Deficiencies
19
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
8
Health Deficiency Score
136
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
136
Standard Health Survey Date
2020-02-06
Total Number of Health Deficiencies
24
Number of Standard Health Deficiencies
2
Number of Complaint Health Deficiencies
22
Health Deficiency Score
316
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
316
Number of Fines
17
Total Amount of Fines in Dollars
502206.55
Number of Payment Denials
3
Total Number of Penalties
20