COLUMBUS MANOR RES CARE HOME - CHICAGO, IL

Submitted by:Liz OBrien, Administrative Assistant
Columbus Manor...IS... in compliance. Please correct.
Thank you,
Liz O'Brien

Institution representatives - add corrected or new information about COLUMBUS MANOR RES CARE HOME »

Addresss:
5107 21 WEST JACKSON BOULEVARD
CHICAGO, IL, 60644
Phone (make sure to verify first before calling): (773) 378-5490

Number of Certified Beds: 189
Total Number of Residents: 109
Percent of Occupied Beds: 58%
Sprinkler Status: Partially Sprinklered
Program Participation: Medicaid
Type of Ownership: For profit - Corporation
Located Within a Hospital?: No
Multi Nursing Home Ownership?: No
Resident and Family Councils: Resident
Continuing Care Retirement Community?: No
Quality Indicator Survey?: No
Special Focus Facility?: Yes
Type: Nursing Facilities

Overall Star Rating: 1 Star
Health Inspections Star Rating: 1 Star
Nurse Staffing Star Rating: Stars
Quality Measures Star Rating: Stars

Employment Full-Time Equivalent
Activities Professionals - Under Contract: 0.23
Administrative Staff - Full Time: 3.43
Certified Nurse Aides - Full Time: 16.00
Dietitians - Under Contract: 0.34
Food Service Personnel - Full Time: 8.71
Housekeeping Personnel - Full Time: 6.86
Licensed Practical/ Vocational Nurses - Full Time: 34.00
Licensed Practical/ Vocational Nurses - Part Time: 0.86
Mental Health Services Personnel - Under Contract: 2.29
Nurses With Administrative Duties - Full Time: 1.14
Registered Nurses - Full Time: 1.14
Rn Director Of Nursing - Full Time: 1.14
Dentists - Under Contract: 0.34
Medical Directors - Part Time: 0.57
Other Physicians - Part Time: 0.57
Pharmacists - Under Contract: 0.23
Persons Not Included In Any Other Categories - Under Contract: 0.43
Podiatrists - Under Contract: 0.34
Social Workers - Under Contract: 3.14

Number Of Beds
Total: 189
Total Certified: 189

Provided Services
Activities Services Are Provided Offsite To Residents
Activities Services Are Provided Onsite To Residents
Clinical Laboratory Services Are Provided Onsite To Residents
Dental Services Are Provided Offsite To Residents
Diagnostic Xray Services Are Provided Onsite To Residents
Dietary Services Are Provided Onsite To Residents
Housekeeping Services Are Provided Onsite To Residents
Mental Health Services Are Provided Offsite To Residents
Mental Health Services Are Provided Onsite To Residents
Nursing Services Are Provided Onsite To Residents
Pharmacy Services Are Provided Onsite To Residents
Physician Services Are Provided Onsite To Residents
Podiatry Services Are Provided Onsite To Residents
Social Work Services Are Provided Offsite To Residents
Social Work Services Are Provided Onsite To Residents
Therapeutic Recreation Specialist Services Are Provided Onsite To Residents
Therapeutic Recrecation Specialist Services Are Provided Offsite To Residents
Vocational Services Are Provided Offsite To Residents
Vocational Services Are Provided Onsite To Residents

Complaint Deficiency

Staff Information

Number of Registered Nurses Hours Per Resident Per Day
This Nursing Home:

0.210
Illinois:

0.751
Number of Licensed Practical and Licensed Vocational Nurses Hours Per Resident Per Day
Here:

0.730
Illinois:

0.595
Total Number of Licensed Staff Hours Per Resident Per Day
This Nursing Home:

0.940
State:

1.342

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