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LAKE COUNTY NURSING & REHABILITATION CENTER

CONSUMER REPORT Created on: 01/10/2013 Posted to the Web on: 01/23/2013 Facility Profile
Basic Information Address: 5025 MCCOOK AVE City: EAST CHICAGO Telephone: (219) 397-0380 View location on map Most recent name change: N/A Date of most recent name change: N/A Owning corporation: LAKE COUNTY NURSING AND REHABILITATION 2201 MAIN ST EVANSTON IL 60202 Ownership type: PROFIT Officer(s): ERIC ROTHNER MARK STEINBERG Name of previous owner: N/A Date of last change of ownership: N/A Administrator: NACHUM LANGSNER Administrator start date: 12/13/2012 License number: 12-000108-1 License effective date: 07/01/2012 License expiration date: 06/30/2013 This facility is: FULLY SPRINKLERED Number of comprehensive care resident rooms: 56 Number of comprehensive care resident rooms with battery operated smoke detectors: 56 Number of comprehensive care resident rooms with hard wired and/or wireless smoke detectors: 0 Person completing form - SHERRI RICHARDSON Title - ADMINISTRATOR Date form completed - 07/10/2012 Nurse Aide Training Competency Evaluation Program (NATCEP) NATCEP approved: 03/23/2000 NATCEP expires: 04/01/2002 NATCEP banned: YES NATCEP ban expires: 10/14/2014 This facility is a Clinical training site for the following NAT classroom sites: SPECIALIZED MEDICAL EDUCATION AND TRAINING Approved: 07/14/2003 Terminated: 11/25/2009 CENTRAL HIGH SCHOOL-SCHOOL CITY OF EAST CHICAGO Approved: 02/22/2012 Terminated: N/A OLYMPIA COLLEGE Approved: N/A Terminated: 01/22/2004 LAKE COUNTY NURSING & REHABILITATION CENTER Approved: 03/10/1998 Terminated: 11/25/2009 CNA ACADEMY Approved: 10/26/2012 Terminated: N/A Beds # of Medicaid beds (NF): 0 # of Medicare beds (SNF): 0 # of Medicare/Medicaid beds (SNF/NF): 117 Total number of comprehensive care beds: 117 # of non-certified comprehensive care beds: 0 Total number of residential beds: 0 Total number of beds in facility: 117 Facility census: 67 as of: 04/03/2012 Results of Surveys Date of last annual health survey: 03/12/2012 In substantial compliance on most recent annual health survey? NO If no, date facility achieved substantial compliance from annual health survey: 04/06/2012 Currently found in substantial compliance? Yes # of substantiated complaints: current year 0 # of substantiated complaints: previous year 3 # of substantiated complaints: 2 years previous 5 Substandard quality of care designations: 11/25/2009 Immediate jeopardy designations: N/A 11/25/2009 State Licensure Actions Event ID: WQQ011 Notice to facility: 03/24/2004 Appeal: N/A Action Cease/Recind: 03/03/2005 Case Closed: 03/03/2005 Initial Amount: $0 Event ID: O63Z11 Notice to facility: 05/02/2001 Appeal: 05/10/2001 Action Cease/Recind: 10/14/2001 Case Closed: 10/14/2001 Initial Amount: $0 Federal Certification Actions Imposed Civil Money Penalty Date Imposed: 02/15/2011 Date Ended: 03/16/2011 Amount proposed per day: 200 Civil Money Penalty Date Imposed: 07/12/2010 Date Ended: 08/08/2010 Amount proposed per day: 150 Mand. Deny Pay for New Admits-3 Mo. Date Imposed: 02/25/2010 Date Ended: 03/22/2010 Date terminated from Medicare.Medicaid: N/A

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