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AMBERWOOD CARE CENTER

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AMBERWOOD CARE CENTER VS
All other Nursing Homes USA
General
City ROCKFORD   vs 0.1% Nursing Homes USA have ROCKFORD
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 2313 NORTH ROCKTON AVENUE  
Zip Code 61103  
Phone 8159642200  
Overall Star Rating
(2.11 lower than average)
vs
3.11

Health Inspections Star Rating
(1.83 lower than average)
vs
2.83

Nurse Staffing Star Rating
(0.17 lower than average)
vs
3.17

Quality Measures Star Rating
(0.31 lower than average)
vs
3.31

RN Only Star Rating
(0.17 lower than average)
vs
3.17

Number of Certified Beds
137  (28.06 higher than average)
vs
108.94

Total Number of Residents
115  (23.75 higher than average)
vs
91.25

Percent of Occupied Beds
84 % (0.35 % higher than average)
vs
83.65 %

Health Survey Date 11/18/2011  
Fire Survey Date 11/17/2011  
Sprinkler Status Fully Sprinklered  vs 90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Corporation  vs 56.7% Nursing Homes USA have For profit - Corporation
Located Within a Hospital? No  vs 93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? No  vs 45.1% Nursing Homes USA don't have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   vs 66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  vs 90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  vs 68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  vs 99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
(56.16 lower than average)
vs
58.16

Total Enforcement Actions Count
(53.31 lower than average)
vs
56.31

# of deficiencies
36  (28.52 higher than average)
vs
7.48

Staff Information
Number of Residents
115  (23.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.55  (0.22 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.58  (0.26 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.13  (0.46 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.01  (5.48 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.01  (0.09 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/15/2012
date Of Correction: 07/09/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 03/08/2012
date Of Correction: 03/27/2012 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 01/06/2012
date Of Correction: 01/23/2012 

Deficiency #4 Scope: Some
level Of Harm: 1
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #5 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #6 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #7 Scope: Some
level Of Harm: 2
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #8 Scope: Few
level Of Harm: 3
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 06/15/2011
date Of Correction: 08/09/2011 

Deficiency #9 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 09/21/2010
date Of Correction: 10/01/2010 

Deficiency #10 Scope: Some
level Of Harm: 2
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 08/13/2010
date Of Correction: 08/31/2010 

Deficiency #11 Scope: Many
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 07/28/2010
date Of Correction: 08/19/2010 

Deficiency #12 Scope: Few
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 05/12/2010
date Of Correction: 05/28/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #2 Scope: Few
level Of Harm: 3
deficiency: Write And Use Policies That Forbid Mistreatment, Neglect And Abuse Of Residents And Theft Of Residents' Property.
survey Date: 06/15/2011
date Of Correction: 08/09/2011 

Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure Each Resident Has The Right To Have A Choice Over Activities, Their Schedules And Health Care According To His Or Her Interests, Assessment, And Plan Of Care.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Care For Residents In A Way That Keeps Or Builds Each Resident's Dignity And Respect Of Individuality.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident's Personal And Medical Records Private And Confidential.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 06/15/2011
date Of Correction: 10/11/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 12/03/2010
date Of Correction: 12/23/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 10/12/2010
date Of Correction: 10/28/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 01/06/2012
date Of Correction: 01/23/2012 

Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Each Resident Who Enters The Nursing Home Without A Catheter Is Not Given A Catheter, And Receive Proper Services To Prevent Urinary Tract Infections And Restore Normal Bladder Function.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 08/30/2011
date Of Correction: 09/14/2011 

Deficiency #4 Scope: Few
level Of Harm: 3
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 06/15/2011
date Of Correction: 08/09/2011 

Deficiency #5 Scope: Few
level Of Harm: 3
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 06/15/2011
date Of Correction: 08/09/2011 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Provide Care By Qualified Persons According To Each Resident's Written Plan Of Care.
survey Date: 06/15/2011
date Of Correction: 10/11/2011 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Give Residents Proper Treatment To Prevent New Bed (pressure) Sores Or Heal Existing Bed Sores.
survey Date: 07/28/2010
date Of Correction: 08/19/2010 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Assist Those Residents Who Need Total Help With Eating/drinking, Grooming And Personal And Oral Hygiene.
survey Date: 07/28/2010
date Of Correction: 08/19/2010 

Deficiency #9 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 12/17/2009
date Of Correction: 01/10/2010 

Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop A Post-discharge Plan With The Resident And Family For The Resident's Care After Leaving The Nursing Home.
survey Date: 01/06/2012
date Of Correction: 01/23/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 08/13/2010
date Of Correction: 08/19/2010 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Develop A Complete Care Plan That Meets All Of A Resident's Needs, With Timetables And Actions That Can Be Measured.
survey Date: 07/28/2010
date Of Correction: 08/19/2010 

Administration Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Operate And Provide Services According To Federal, State, And Local Laws And Professional Standards.
survey Date: 12/03/2010
date Of Correction: 12/23/2010 

Pharmacy Service Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Maintain Drug Records And Properly Mark/label Drugs And Other Similar Products According To Accepted Professional Standards.
survey Date: 07/28/2010
date Of Correction: 08/19/2010 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Make Sure Menus Meet The Resident's Nutritional Needs And That There Is A Prepared Menu By Which Nutritious Meals Have Been Planned For The Resident And Followed.
survey Date: 01/06/2012
date Of Correction: 01/23/2012 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
30.9 % (5.81 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
2.9 % (30.05 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
10.8 % (5.86 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
11.1 % (1.48 % lower than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight 11.8:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
13.3 % (31.24 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.4 % (8.23 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
75.2 % (61.74 % higher than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
75.2 % (46.82 % higher than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
6.7 % (36.98 % lower than average)
vs
43.68 %

Percent of short-stay residents who self-report moderate to severe pain
30.5 % (5.48 % higher than average)
vs
25.02 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
87.2 % (2.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
55.1 % (28.84 % lower than average)
vs
83.94 %

Percent of short-stay residents who newly received an antipsychotic medication
75.2 % (29.3 % higher than average)
vs
45.90 %

Percent of long-stay residents experiencing one or more falls with major injury
1 % (14.52 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
33.9 % (8.51 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.7 % (21 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain 11.6:1 % 
Percent of long-stay high-risk residents with pressure ulcers
8.5 % (0.72 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight 7.9:1 % 
Percent of long-stay low-risk residents who lose control of their bowels or bladder
14.4 % (28.98 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
7.5 % (3.15 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
1.7 % (7.88 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
75.2 % (55.34 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
6.4 % (32.13 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
2.4 % (8.33 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
25 % (0.24 % higher than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
86.7 % (5.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
69 % (5.75 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
2.4 % (14.94 % lower than average)
vs
17.34 %



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