Ackert Park Skilled Nursing & Rehabilitation Cente
894 Leland Avenue, University City, MO 63130


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.


Ackert Park Skilled Nursing & Rehabilitation Cente · 894 Leland Avenue, University City, MO 63130

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 or Manager · Ackert Park Skilled Nursing & Rehabilitation Cente

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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