Mather, The
425 Davis Street, Evanston, IL 60201


Mather, The is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 146145. The address is 425 Davis Street, Evanston, IL 60201. The zip code is 60201. The phone number is 8474927500.


Mather, The · 425 Davis Street, Evanston, IL 60201

Federal Provider Number 146145
Provider Name MATHER, THE
Address 425 DAVIS STREET
EVANSTON, IL 60201
Phone Number 8474927500
SSA County Code 141
County Name Cook
Ownership Type Non profit - Corporation
Certified Beds 37
Certified Beds Residents 31
Provider Type Medicare
Resides in Hospital false
Legal Business Name THE MATHER
Date First Approved to Provide Medicare Medicaid Services 12/09/2010
Continuing Care Retirement Community true
Special Focus Facility false
Most Recent Health Inspection More Than 2 Years Ago false
Changed Ownership Last 12 Months false
With Resident Family Council Resident
Automatic Sprinkler Systems in All Required Areas Yes
Overall Rating 5
Health Inspection Rating 5
Quality Measure Rating 5
Staffing Rating Footnote Data Not Available
RN Staffing Rating Footnote Data Not Available
Reported Staffing Footnote Data Not Available
Physical Therapist Staffing Footnote Data Not Available
Expected CNA Staffing Hours per Resident per Day 2.21433
Expected LPN Staffing Hours per Resident per Day 0.57944
Expected RN Staffing Hours per Resident per Day 0.95758
Expected Total Nurse Staffing Hours per Resident per Day 3.75135
Cycle 1 Standard Survey Health Date 06/15/2017
Cycle 2 Total Number of Health Deficiencies 1
Cycle 2 Number of Standard Health Deficiencies 1
Cycle 2 Health Deficiency Score 16
Cycle 2 Standard Health Survey Date 05/06/2016
Cycle 2 Number of Health Revisits 1
Cycle 2 Total Health Score 16
Cycle 3 Total Number of Health Deficiencies 4
Cycle 3 Number of Standard Health Deficiencies 4
Cycle 3 Health Deficiency Score 20
Cycle 3 Standard Health Survey Date 04/02/2015
Cycle 3 Number of Health Revisits 1
Cycle 3 Total Health Score 20
Total Weighted Health Survey Score 8.667
Total Amount of Fines in Dollars $0.00
Processing Date 08/01/2017

Owner or Manager · Mather, The

Owner Name Role Association Date
LAYSTROM, LYNN (Individual) MANAGING EMPLOYEE since 09/23/2013
LEARY, MARY (Individual) OFFICER since 08/17/2007
LUMPP, ROGER (Individual) OFFICER since 08/17/2007
MATHER LIFEWAYS (Organization) 5% OR GREATER INDIRECT OWNERSHIP INTEREST
100%
since 10/24/2013
MATHER SENIOR LIVING COMMUNITIES LLC (Organization) 5% OR GREATER DIRECT OWNERSHIP INTEREST
100%
since 10/24/2013
PHILLIPS, JOHN (Individual) OFFICER since 08/17/2007
SUSSENBACH, CAROL (Individual) OFFICER since 07/05/1994

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