Lake Forest Place - Lake Forest Nursing Home
General Information
UPDATEFederal Provider Number
145986
Provider Name
LAKE FOREST PLACE
Provider Address
1100 PEMBRIDGE DRIVE
LAKE FOREST, IL 60045
LAKE FOREST, IL 60045
Provider Phone Number
8476046700
Provider SSA County
570
Provider County Name
Lake
Ownership Type
Non profit - Corporation
Number of Certified Beds
50
Number of Residents in Certified Beds
44
Provider Type
Medicare
Provider Resides in Hospital
N
Legal Business Name
PRESBYTERIAN HOME
Date First Approved to Provide Medicare and Medicaid services
1999-09-23
Continuing Care Retirement Community
Y
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
4
Overall Rating Footnote
Health Inspection Rating
3
Health Inspection Rating Footnote
QM Rating
4
QM Rating Footnote
Staffing Rating
5
Staffing Rating Footnote
RN Staffing Rating
5
RN Staffing Rating Footnote
Reported Staffing Footnote
Physical Therapist Staffing Footnote
Reported CNA Staffing Hours per Resident per Day
4.06477
Reported LPN Staffing Hours per Resident per Day
0.49545
Reported RN Staffing Hours per Resident per Day
2.12955
Reported Licensed Staffing Hours per Resident per Day
2.62500
Reported Total Nurse Staffing Hours per Resident per Day
6.68977
Reported Physical Therapist Staffing Hours per Resident Per Day
0.51591
Expected CNA Staffing Hours per Resident per Day
2.50905
Expected LPN Staffing Hours per Resident per Day
0.69493
Expected RN Staffing Hours per Resident per Day
1.27083
Expected Total Nurse Staffing Hours per Resident per Day
4.47481
Adjusted CNA Staffing Hours per Resident per Day
3.97511
Adjusted LPN Staffing Hours per Resident per Day
0.59175
Adjusted RN Staffing Hours per Resident per Day
1.25209
Adjusted Total Nurse Staffing Hours per Resident per Day
6.02613
Cycle 1 Total Number of Health Deficiencies
8
Cycle 1 Number of Standard Health Deficiencies
7
Cycle 1 Number of Complaint Health Deficiencies
1
Cycle 1 Health Deficiency Score
44
Cycle 1 Standard Survey Health Date
2014-12-18
Cycle 1 Number of Health Revisits
1
Cycle 1 Health Revisit Score
0
Cycle 1 Total Health Score
44
Cycle 2 Total Number of Health Deficiencies
5
Cycle 2 Number of Standard Health Deficiencies
2
Cycle 2 Number of Complaint Health Deficiencies
3
Cycle 2 Health Deficiency Score
24
Cycle 2 Standard Health Survey Date
2013-11-19
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
5
Cycle 3 Number of Standard Health Deficiencies
5
Cycle 3 Number of Complaint Health Deficiencies
0
Cycle 3 Health Deficiency Score
20
Cycle 3 Standard Health Survey Date
2013-01-17
Cycle 3 Number of Health Revisits
1
Cycle 3 Health Revisit Score
0
Cycle 3 Total Health Score
20
Total Weighted Health Survey Score
33.33300
Number of Facility Reported Incidents
0
Number of Substantiated Complaints
6
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
Nursiong Homes Nearby
Lake Forest Hospital Snu
660 North Westmoreland Road |
LAKE FOREST IL 60045 | 0.6 mile away
Claridge Healthcare Center
700 Jenkisson |
LAKE BLUFF IL 60044 | 1.8 miles away
Manorcare Of Libertyville
1500 South Milwaukee Avenue |
LIBERTYVILLE IL 60048 | 4 miles away
Warren Barr North Shore
2773 Skokie Valley Road |
HIGHLAND PARK IL 60035 | 4.4 miles away
Warren Barr Lincolnshire
150 Jamestown Lane |
LINCOLNSHIRE IL 60069 | 5 miles away
Winchester House
1125 North Milwaukee Avenue |
LIBERTYVILLE IL 60048 | 5.1 miles away
Glenlake Terrace Nursing & Reh
2222 West 14th Street |
WAUKEGAN IL 60085 | 5.1 miles away
Aperion Care Highwood
50 Pleasant Avenue |
HIGHWOOD IL 60040 | 5.2 miles away
Bayside Terrace
1100 South Lewis Avenue |
WAUKEGAN IL 60085 | 5.5 miles away
Lake Park Center
919 Washington Park |
WAUKEGAN IL 60085 | 5.7 miles away
Radford Green
960 Audubon Way |
LINCOLNSHIRE IL 60069 | 6.1 miles away
Abbott House
405 Central Avenue |
HIGHLAND PARK IL 60035 | 6.3 miles away
Libertyville Manor Ext Care
610 Peterson Road |
LIBERTYVILLE IL 60048 | 6.3 miles away
Pavilion Of Waukegan
2217 Washington Street |
WAUKEGAN IL 60085 | 6.8 miles away
Brentwood North Hc &rehab Ctr
3705 Deerfield Road |
RIVERWOODS IL 60015 | 6.9 miles away
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