Aperion Care Midlothian - Midlothian Nursing Home
General Information
UPDATEFederal Provider Number
145947
Provider Name
APERION CARE MIDLOTHIAN
Provider Address
3249 WEST 147TH STREET
MIDLOTHIAN, IL 60445
MIDLOTHIAN, IL 60445
Provider Phone Number
(708) 389-3141
Provider SSA County
141
Provider County Name
Cook
Provider Website
Provider Description
Ownership Type
For profit - Individual
Number of Certified Beds
91
Number of Residents in Certified Beds
84
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
PLAZA NURSING & REHAB CENTER, LLC
Date First Approved to Provide Medicare and Medicaid services
1997-12-01
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
5
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
2
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.00417
Reported LPN Staffing Hours per Resident per Day
0.57381
Reported RN Staffing Hours per Resident per Day
0.32619
Reported Licensed Staffing Hours per Resident per Day
0.90000
Reported Total Nurse Staffing Hours per Resident per Day
1.90417
Reported Physical Therapist Staffing Hours per Resident Per Day
0.03393
Expected CNA Staffing Hours per Resident per Day
2.10453
Expected LPN Staffing Hours per Resident per Day
0.55091
Expected RN Staffing Hours per Resident per Day
0.82565
Expected Total Nurse Staffing Hours per Resident per Day
3.48109
Adjusted CNA Staffing Hours per Resident per Day
1.17078
Adjusted LPN Staffing Hours per Resident per Day
0.86450
Adjusted RN Staffing Hours per Resident per Day
0.29520
Adjusted Total Nurse Staffing Hours per Resident per Day
2.20492
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
28
Cycle 1 Standard Survey Health Date
2014-06-19
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
28
Cycle 2 Total Number of Health Deficiencies
13
Cycle 2 Number of Standard Health Deficiencies
7
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
68
Cycle 2 Standard Health Survey Date
2013-08-22
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
68
Cycle 3 Total Number of Health Deficiencies
7
Cycle 3 Number of Standard Health Deficiencies
7
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
32
Cycle 3 Standard Health Survey Date
2013-03-22
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
32
Total Weighted Health Survey Score
42.00000
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
13
Number of Fines
1
Total Amount of Fines in Dollars
19364
Number of Payment Denials
0
Total Number of Penalties
1
Location
Processing Date
2015-06-01
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