Ackert Park Skilled Nursing & Rehabilitation Cente is nursing home registered in the Centers for Medicare & Medicaid Services (CMS). The Provider Number is 265831. The address is 894 Leland Avenue, University City, MO 63130. The zip code is 63130. The phone number is 3147264767.
| Federal Provider Number | 265831 |
| Provider Name | ACKERT PARK SKILLED NURSING & REHABILITATION CENTE |
| Address | 894 LELAND AVENUE UNIVERSITY CITY, MO 63130 |
| Phone Number | 3147264767 |
| SSA County Code | 940 |
| County Name | St. Louis |
| Ownership Type | For profit - Corporation |
| Certified Beds | 130 |
| Certified Beds Residents | 70 |
| Provider Type | Medicare and Medicaid |
| Resides in Hospital | false |
| Legal Business Name | JPAM CONSULTING, INC |
| Date First Approved to Provide Medicare Medicaid Services | 07/20/2009 |
| Continuing Care Retirement Community | false |
| Special Focus Facility | false |
| Most Recent Health Inspection More Than 2 Years Ago | false |
| Changed Ownership Last 12 Months | false |
| With Resident Family Council | Both |
| Automatic Sprinkler Systems in All Required Areas | Yes |
| Overall Rating | 1 |
| Health Inspection Rating | 1 |
| Quality Measure Rating | 1 |
| Staffing Rating | 2 |
| RN Staffing Rating | 1 |
| Reported CNA Staffing Hours per Resident per Day | 2.63357 |
| Reported LPN Staffing Hours per Resident per Day | 0.76143 |
| Reported RN Staffing Hours per Resident per Day | 0.29714 |
| Reported Licensed Staffing Hours per Resident per Day | 1.05857 |
| Reported Total Nurse Staffing Hours per Resident per Day | 3.69214 |
| Reported Physical Therapist Staffing Hours per Resident Per Day | 0.01429 |
| Expected CNA Staffing Hours per Resident per Day | 2.12556 |
| Expected LPN Staffing Hours per Resident per Day | 0.57965 |
| Expected RN Staffing Hours per Resident per Day | 0.89428 |
| Expected Total Nurse Staffing Hours per Resident per Day | 3.59949 |
| Adjusted CNA Staffing Hours per Resident per Day | 3.04013 |
| Adjusted LPN Staffing Hours per Resident per Day | 1.09029 |
| Adjusted RN Staffing Hours per Resident per Day | 0.24827 |
| Adjusted Total Nurse Staffing Hours per Resident per Day | 4.13465 |
| Cycle 1 Total Number of Health Deficiencies | 24 |
| Cycle 1 Number of Standard Health Deficiencies | 21 |
| Cycle 1 Number of Complaint Health Deficiencies | 7 |
| Cycle 1 Health Deficiency Score | 184 |
| Cycle 1 Standard Survey Health Date | 12/15/2016 |
| Cycle 1 Number of Health Revisits | 2 |
| Cycle 1 Health Revisit Score | 92 |
| Cycle 1 Total Health Score | 276 |
| Cycle 2 Total Number of Health Deficiencies | 14 |
| Cycle 2 Number of Standard Health Deficiencies | 11 |
| Cycle 2 Number of Complaint Health Deficiencies | 4 |
| Cycle 2 Health Deficiency Score | 76 |
| Cycle 2 Standard Health Survey Date | 11/03/2015 |
| Cycle 2 Number of Health Revisits | 1 |
| Cycle 2 Total Health Score | 76 |
| Cycle 3 Total Number of Health Deficiencies | 3 |
| Cycle 3 Number of Standard Health Deficiencies | 3 |
| Cycle 3 Health Deficiency Score | 20 |
| Cycle 3 Standard Health Survey Date | 01/09/2015 |
| Cycle 3 Number of Health Revisits | 1 |
| Cycle 3 Total Health Score | 20 |
| Total Weighted Health Survey Score | 166.667 |
| Number of Facility Reported Incidents | 5 |
| Number of Substantiated Complaints | 11 |
| Number of Fines | 1 |
| Total Amount of Fines in Dollars | $42565.00 |
| Number of Payment Denials | 1 |
| Total Number of Penalties | 2 |
| Processing Date | 08/01/2017 |
| Owner Name | Role | Association Date |
|---|---|---|
| BRENCICK, JOHN (Individual) |
5% OR GREATER DIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 08/06/2015 |
| BRENCICK, JOHN (Individual) | DIRECTOR | since 08/06/2015 |
| BRENCICK, JOHN (Individual) | OFFICER | since 08/06/2015 |
| BRENCICK, JOHN (Individual) | OPERATIONAL/MANAGERIAL CONTROL | since 10/15/2015 |
| JPAM CONSULTING, INC (Organization) |
5% OR GREATER DIRECT OWNERSHIP INTEREST NO PERCENTAGE PROVIDED |
since 08/06/2015 |
| JPAM CONSULTING, INC (Organization) | OPERATIONAL/MANAGERIAL CONTROL | since 10/15/2015 |
street_number:
894
route:
Leland Avenue (Leland Ave)
locality, political:
University City
admin_level_3, political:
Hadley Township
admin_level_2, political:
St. Louis County (St Louis County)
admin_level_1, political:
Missouri (MO)
country, political:
United States (US)
postal_code:
63130
postal_code_suffix:
3239
types : street_address
latitude: 38.661049
longitude: -90.304788
latlng: (38.661049, -90.304788)
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