Aperion Care Forest Park - Forest Park Nursing Home
General Information
UPDATEFederal Provider Number
145969
Provider Name
APERION CARE FOREST PARK
Provider Address
8200 WEST ROOSEVELT ROAD
FOREST PARK, IL 60130
FOREST PARK, IL 60130
Provider Phone Number
(708) 488-9850
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Corporation
Number of Certified Beds
232
Number of Residents in Certified Beds
154
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKSHIRE NURSING & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1998-06-19
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
2
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
4
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
2.30974
Reported LPN Staffing Hours per Resident per Day
0.97208
Reported RN Staffing Hours per Resident per Day
0.97760
Reported Licensed Staffing Hours per Resident per Day
1.94968
Reported Total Nurse Staffing Hours per Resident per Day
4.25942
Reported Physical Therapist Staffing Hours per Resident Per Day
0.15779
Expected CNA Staffing Hours per Resident per Day
2.40479
Expected LPN Staffing Hours per Resident per Day
0.67324
Expected RN Staffing Hours per Resident per Day
1.14449
Expected Total Nurse Staffing Hours per Resident per Day
4.22252
Adjusted CNA Staffing Hours per Resident per Day
2.35672
Adjusted LPN Staffing Hours per Resident per Day
1.19843
Adjusted RN Staffing Hours per Resident per Day
0.63824
Adjusted Total Nurse Staffing Hours per Resident per Day
4.06613
Cycle 1 Total Number of Health Deficiencies
10
Cycle 1 Number of Standard Health Deficiencies
5
Cycle 1 Number of Complaint Health Deficiencies
5
Cycle 1 Health Deficiency Score
52
Cycle 1 Standard Survey Health Date
2014-10-24
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
52
Cycle 2 Total Number of Health Deficiencies
15
Cycle 2 Number of Standard Health Deficiencies
14
Cycle 2 Number of Complaint Health Deficiencies
1
Cycle 2 Health Deficiency Score
92
Cycle 2 Standard Health Survey Date
2013-12-19
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
92
Cycle 3 Total Number of Health Deficiencies
10
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
6
Cycle 3 Health Deficiency Score
80
Cycle 3 Standard Health Survey Date
2012-11-16
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
80
Total Weighted Health Survey Score
70.00000
Number of Facility Reported Incidents
2
Number of Substantiated Complaints
24
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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