Overall Rating
Address
7750 South Shore Drive
Chicago, IL 60649
Contact
7737314200
Certification Date
1997-07-01
CMS Certification Number
145939
Ownership Type
For profit - Corporation
Number of Certified Beds
118
Average Number of Residents per Day
112.5
Provider Type
Medicare and Medicaid
Legal Business Name
PAVILION OF SOUTH SHORE LLC
Affiliated Entity Name
PAVILION HEALTHCARE
Affiliated Entity ID
612
Health Inspection Rating
2
Quality Measure Rating
3
Staffing Rating
1
Reported Nurse Aide Staffing Hours per Resident per Day
1.82169
Reported LPN Staffing Hours per Resident per Day
0.98122
Reported RN Staffing Hours per Resident per Day
0.20271
Reported Total Nurse Staffing Hours per Resident per Day
3.00563
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.56044
Registered Nurse Hours per Resident per Day on the Weekend
0.15069
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01674
Long-Stay Quality Measure Rating
5
Short-Stay Quality Measure Rating
1
Total Weighted Health Survey Score
135.500
Number of Facility Reported Incidents
5
Number of Substantiated Complaints
15
Number of Citations from Infection Control Inspections
0
Standard Health Survey Date
2023-03-15
Total Number of Health Deficiencies
18
Number of Standard Health Deficiencies
13
Number of Complaint Health Deficiencies
5
Health Deficiency Score
191
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
191
Standard Health Survey Date
2022-02-25
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
4
Number of Complaint Health Deficiencies
5
Health Deficiency Score
64
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
64
Standard Health Survey Date
2021-06-10
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
11
Number of Complaint Health Deficiencies
3
Health Deficiency Score
112
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
112
Number of Fines
1
Total Amount of Fines in Dollars
5000.00
Number of Payment Denials
0
Total Number of Penalties
1