Overall Rating
Cited for abuse
Address
2242 North Kedzie
Chicago, IL 60647
Contact
7734867700
Certification Date
1994-06-01
CMS Certification Number
145792
Ownership Type
For profit - Limited Liability company
Number of Certified Beds
222
Average Number of Residents per Day
202.1
Provider Type
Medicare and Medicaid
Legal Business Name
PAVILION OF LOGAN SQUARE LLC
Affiliated Entity Name
PAVILION HEALTHCARE
Affiliated Entity ID
612
Health Inspection Rating
2
Quality Measure Rating
1
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.47231
Reported LPN Staffing Hours per Resident per Day
0.59198
Reported RN Staffing Hours per Resident per Day
0.44110
Reported Total Nurse Staffing Hours per Resident per Day
2.50539
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.19327
Registered Nurse Hours per Resident per Day on the Weekend
0.30169
Reported Physical Therapist Staffing Hours per Resident Per Day
0.02890
Long-Stay Quality Measure Rating
1
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
174.000
Number of Facility Reported Incidents
3
Number of Substantiated Complaints
31
Number of Citations from Infection Control Inspections
1
Standard Health Survey Date
2023-11-01
Total Number of Health Deficiencies
26
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
17
Health Deficiency Score
248
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
248
Standard Health Survey Date
2022-09-14
Total Number of Health Deficiencies
12
Number of Standard Health Deficiencies
8
Number of Complaint Health Deficiencies
4
Health Deficiency Score
112
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
112
Standard Health Survey Date
2021-09-24
Total Number of Health Deficiencies
15
Number of Standard Health Deficiencies
10
Number of Complaint Health Deficiencies
5
Health Deficiency Score
76
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
76
Number of Fines
5
Total Amount of Fines in Dollars
47392.50
Number of Payment Denials
0
Total Number of Penalties
5