Foster Health & Rehab Center - Chicago Nursing Home

General Information

UPDATE

Federal Provider Number

146167

Provider Name

FOSTER HEALTH & REHAB CENTER

Provider Address

2840 WEST FOSTER AVENUE
CHICAGO, IL 60625

Provider Phone Number

(773) 561-2040

Provider SSA County

141

Provider County Name

Cook

Provider Website

Provider Description

Ownership Type

For profit - Corporation

Number of Certified Beds

Number of Residents in Certified Beds

Provider Type

Medicare and Medicaid

Provider Resides in Hospital

Legal Business Name

FOSTER HEALTH & REHABILITATION CENTER LLC

Date First Approved to Provide Medicare and Medicaid services

2014-04-24

Continuing Care Retirement Community

Special Focus Facility

Provider Changed Ownership in Last 12 Months

With a Resident and Family Council

Resident

Automatic Sprinkler Systems in All Required Areas

Yes

Rating Detail Information

Overall Rating

Overall Rating Footnote

Health Inspection Rating

Health Inspection Rating Footnote

QM Rating

QM Rating Footnote

Staffing Rating

Staffing Rating Footnote

RN Staffing Rating

RN Staffing Rating Footnote

Reported Staffing Footnote

Physical Therapist Staffing Footnote

Reported CNA Staffing Hours per Resident per Day

1.29500

Reported LPN Staffing Hours per Resident per Day

0.37250

Reported RN Staffing Hours per Resident per Day

0.53875

Reported Licensed Staffing Hours per Resident per Day

0.91125

Reported Total Nurse Staffing Hours per Resident per Day

2.20625

Reported Physical Therapist Staffing Hours per Resident Per Day

0.00000

Expected CNA Staffing Hours per Resident per Day

2.52665

Expected LPN Staffing Hours per Resident per Day

0.65318

Expected RN Staffing Hours per Resident per Day

1.09378

Expected Total Nurse Staffing Hours per Resident per Day

4.27361

Adjusted CNA Staffing Hours per Resident per Day

1.25761

Adjusted LPN Staffing Hours per Resident per Day

0.47334

Adjusted RN Staffing Hours per Resident per Day

0.36804

Adjusted Total Nurse Staffing Hours per Resident per Day

2.08095

Cycle 1 Total Number of Health Deficiencies

Cycle 1 Number of Standard Health Deficiencies

Cycle 1 Number of Complaint Health Deficiencies

Cycle 1 Health Deficiency Score

Cycle 1 Standard Survey Health Date

2015-01-09

Cycle 1 Number of Health Revisits

Cycle 1 Health Revisit Score

Cycle 1 Total Health Score

Cycle 2 Total Number of Health Deficiencies

Cycle 2 Number of Standard Health Deficiencies

Cycle 2 Number of Complaint Health Deficiencies

Cycle 2 Health Deficiency Score

Cycle 2 Standard Health Survey Date

2013-11-19

Cycle 2 Number of Health Revisits

Cycle 2 Health Revisit Score

Cycle 2 Total Health Score

Cycle 3 Total Number of Health Deficiencies

Cycle 3 Number of Standard Health Deficiencies

Cycle 3 Number of Complaint Health Deficiencies

Cycle 3 Health Deficiency Score

Cycle 3 Standard Health Survey Date

0000-00-00

Cycle 3 Number of Health Revisits

Cycle 3 Health Revisit Score

Cycle 3 Total Health Score

Total Weighted Health Survey Score

8.80000

Number of Facility Reported Incidents

Number of Substantiated Complaints

Number of Fines

Total Amount of Fines in Dollars

Number of Payment Denials

Total Number of Penalties

Location

Processing Date

2015-06-01

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