Aperion Care Evanston - Evanston Nursing Home

General Information

UPDATE
Federal Provider Number
146058
Provider Name
APERION CARE EVANSTON
Provider Address
1300 OAK AVENUE
EVANSTON, IL 60201
Provider Phone Number
(847) 869-1300
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
57
Number of Residents in Certified Beds
55
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
EVANSTON NURSING & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
2004-02-01
Continuing Care Retirement Community
N
Special Focus Facility
N
Provider Changed Ownership in Last 12 Months
N
With a Resident and Family Council
Resident
Automatic Sprinkler Systems in All Required Areas
Yes

Rating Detail Information

Overall Rating
3
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
2
Staffing Rating Footnote
RN Staffing Rating
4
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.86182
Reported LPN Staffing Hours per Resident per Day
0.28545
Reported RN Staffing Hours per Resident per Day
0.86182
Reported Licensed Staffing Hours per Resident per Day
1.14727
Reported Total Nurse Staffing Hours per Resident per Day
3.00909
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10364
Expected CNA Staffing Hours per Resident per Day
2.61341
Expected LPN Staffing Hours per Resident per Day
0.59200
Expected RN Staffing Hours per Resident per Day
1.02536
Expected Total Nurse Staffing Hours per Resident per Day
4.23077
Adjusted CNA Staffing Hours per Resident per Day
1.74804
Adjusted LPN Staffing Hours per Resident per Day
0.40021
Adjusted RN Staffing Hours per Resident per Day
0.62802
Adjusted Total Nurse Staffing Hours per Resident per Day
2.86693
Cycle 1 Total Number of Health Deficiencies
4
Cycle 1 Number of Standard Health Deficiencies
2
Cycle 1 Number of Complaint Health Deficiencies
2
Cycle 1 Health Deficiency Score
24
Cycle 1 Standard Survey Health Date
2014-11-06
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
24
Cycle 2 Total Number of Health Deficiencies
7
Cycle 2 Number of Standard Health Deficiencies
6
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
48
Cycle 2 Standard Health Survey Date
2013-12-04
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
48
Cycle 3 Total Number of Health Deficiencies
6
Cycle 3 Number of Standard Health Deficiencies
6
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2012-10-26
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
1
Number of Substantiated Complaints
2
Number of Fines
0
Total Amount of Fines in Dollars
0
Number of Payment Denials
0
Total Number of Penalties
0
Location
Processing Date
2015-06-01
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