Berkeley Nursing & Rehab Center - Oak Park Nursing Home

General Information

UPDATE
Federal Provider Number
146013
Provider Name
BERKELEY NURSING & REHAB CENTER
Provider Address
6909 WEST NORTH AVENUE
OAK PARK, IL 60302
Provider Phone Number
7083861112
Provider SSA County
141
Provider County Name
Cook
Ownership Type
For profit - Individual
Number of Certified Beds
72
Number of Residents in Certified Beds
57
Provider Type
Medicare and Medicaid
Provider Resides in Hospital
N
Legal Business Name
BERKELEY NURSING AND REHAB
Date First Approved to Provide Medicare and Medicaid services
2002-02-01
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
1
Overall Rating Footnote
Health Inspection Rating
2
Health Inspection Rating Footnote
QM Rating
3
QM Rating Footnote
Staffing Rating
1
Staffing Rating Footnote
RN Staffing Rating
1
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
1.53596
Reported LPN Staffing Hours per Resident per Day
0.83596
Reported RN Staffing Hours per Resident per Day
0.42456
Reported Licensed Staffing Hours per Resident per Day
1.26053
Reported Total Nurse Staffing Hours per Resident per Day
2.79648
Reported Physical Therapist Staffing Hours per Resident Per Day
0.10000
Expected CNA Staffing Hours per Resident per Day
2.35191
Expected LPN Staffing Hours per Resident per Day
0.69040
Expected RN Staffing Hours per Resident per Day
1.41498
Expected Total Nurse Staffing Hours per Resident per Day
4.45729
Adjusted CNA Staffing Hours per Resident per Day
1.60244
Adjusted LPN Staffing Hours per Resident per Day
1.00499
Adjusted RN Staffing Hours per Resident per Day
0.22419
Adjusted Total Nurse Staffing Hours per Resident per Day
2.52896
Cycle 1 Total Number of Health Deficiencies
7
Cycle 1 Number of Standard Health Deficiencies
4
Cycle 1 Number of Complaint Health Deficiencies
4
Cycle 1 Health Deficiency Score
40
Cycle 1 Standard Survey Health Date
2014-04-09
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
40
Cycle 2 Total Number of Health Deficiencies
10
Cycle 2 Number of Standard Health Deficiencies
5
Cycle 2 Number of Complaint Health Deficiencies
6
Cycle 2 Health Deficiency Score
44
Cycle 2 Standard Health Survey Date
2013-03-21
Cycle 2 Number of Health Revisits
1
Cycle 2 Health Revisit Score
0
Cycle 2 Total Health Score
0
Cycle 3 Total Number of Health Deficiencies
15
Cycle 3 Number of Standard Health Deficiencies
8
Cycle 3 Number of Complaint Health Deficiencies
7
Cycle 3 Health Deficiency Score
104
Cycle 3 Standard Health Survey Date
2012-05-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
104
Total Weighted Health Survey Score
52.00000
Number of Facility Reported Incidents
4
Number of Substantiated Complaints
19
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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