Lake Forest Place
Lake Forest Place Information
| Facility Name | Lake Forest Place |
| Location | 1100 Pembridge Drive, Lake Forest, IL 60045 |
| County (SSA Code) | Lake (570) |
| Phone Number | 847-604-6701 |
| Certification(s) | Medicare |
| Number of Beds | 50 |
| Average Number of Residents | 44.8 |
| CCRC Facility? | Yes |
| Medicare Overall Rating | |
| Survey Rating | |
| Quality Rating | |
| Long Stay Quality Rating | |
| Short Stay Quality Rating | |
| Staff Quality Rating | |
| Registered Nurse Quality Rating |
| Abuse Flag | No |
| Sprinklers Installed | Yes |
| Located In Hospital | No |
| Resident Family Council | Resident |
| Provider Business Name | LAKE FOREST PLACE, LLC |
| Ownership Type | For profit - Limited Liability company |
| Date First Approved | 1999-09-23 |
| Reported Nurse Aide Staffing Hours per Resident per Day | 2.96977 |
| Reported LPN Staffing Hours per Resident per Day | 0.00203 |
| Reported RN Staffing - Hours per Resident per Day | 2.70433 |
| Reported Licensed Staffing - Hours per Resident per Day (RN + LPN) | 2.70636 |
| Reported Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 5.67613 |
| Reported Physical Therapy Staffing - Hours per Resident Per Day | 0.14427 |
| Case-Mix Nurse Aide Staffing - Hours per Resident per Day | 2.39347 |
| Case-Mix LPN Staffing - Hours per Resident per Day | 0.80817 |
| Case-Mix RN Staffing - Hours per Resident per Day | 0.46949 |
| Case-Mix Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 3.67112 |
| Adjusted Total Nurse Staffing - Hours per Resident per Day (Aide+LPN+RN) | 4.92943 |
| Total Weighted Health Survey Score for three cycles | 13.333 |
| Rating cycle 1 Standard Survey Health Date | 2020-01-08 |
| Rating cycle 1 - Health Deficiency Score | 3 |
| Rating cycle 1 - Total Health Inspection Score | 12 |
| Date of Rating cycle 2 Standard Health Survey Date | 2018-12-19 |
| Rating cycle 2 - Health Deficiency Score | 12 |
| Date of Rating cycle 3 Standard Health Survey Date | 2017-11-01 |
| Rating cycle 3 - Health Deficiency Score | 20 |
| Rating cycle 3 - Total Health Inspection Score | 20 |
| Number of Facility-Reported Incidents | 0 |
| Number of Substantiated Complaints | 0 |
| Number of Substantiated Complaints | 0 |
| Total Number of Penalties | 0 |
| Data Filing Date | 2020-10-01 |
| Page Last Updated | 2020-11-28 |