Overall Rating
Address
1512 West Fargo
Chicago, IL 60626
Contact
7734657751
Certification Date
2014-06-13
CMS Certification Number
146169
Ownership Type
For profit - Partnership
Number of Certified Beds
99
Average Number of Residents per Day
90.8
Provider Type
Medicare and Medicaid
Legal Business Name
FARGO HEALTH CARE CENTER LLC
Affiliated Entity Name
Affiliated Entity ID
Health Inspection Rating
3
Quality Measure Rating
3
Staffing Rating
3
Reported Nurse Aide Staffing Hours per Resident per Day
1.74749
Reported LPN Staffing Hours per Resident per Day
0.50162
Reported RN Staffing Hours per Resident per Day
0.52670
Reported Total Nurse Staffing Hours per Resident per Day
2.77580
Total Number of Nurse Staff Hours per Resident per Day on the Weekend
2.25184
Registered Nurse Hours per Resident per Day on the Weekend
0.38341
Reported Physical Therapist Staffing Hours per Resident Per Day
0.01631
Long-Stay Quality Measure Rating
3
Short-Stay Quality Measure Rating
Total Weighted Health Survey Score
93.167
Number of Facility Reported Incidents
6
Number of Substantiated Complaints
5
Number of Citations from Infection Control Inspections
Standard Health Survey Date
2023-06-29
Total Number of Health Deficiencies
10
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
2
Health Deficiency Score
96
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
96
Standard Health Survey Date
2022-08-19
Total Number of Health Deficiencies
9
Number of Standard Health Deficiencies
5
Number of Complaint Health Deficiencies
4
Health Deficiency Score
44
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
44
Standard Health Survey Date
2021-08-06
Total Number of Health Deficiencies
14
Number of Standard Health Deficiencies
9
Number of Complaint Health Deficiencies
5
Health Deficiency Score
183
Number of Health Revisits
1
Health Revisit Score
0
Total Health Score
183
Number of Fines
1
Total Amount of Fines in Dollars
53413.75
Number of Payment Denials
0
Total Number of Penalties
1