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CAMBRIDGE NURSING & REHAB CENTER

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CAMBRIDGE NURSING & REHAB CENTER VS
All other Nursing Homes USA
General
City SKOKIE   vs 0% Nursing Homes USA have SKOKIE
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 9615 NORTH KNOX AVENUE  
Zip Code 60076  
Phone 8476794161  
Overall Star Rating
(1.11 lower than average)
vs
3.11

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

Nurse Staffing Star Rating
(0.83 higher than average)
vs
3.17

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

RN Only Star Rating
(1.83 higher than average)
vs
3.17

Number of Certified Beds
113  (4.06 higher than average)
vs
108.94

Total Number of Residents
102  (10.75 higher than average)
vs
91.25

Percent of Occupied Beds
90 % (6.35 % higher than average)
vs
83.65 %

Health Survey Date 1/3/2012  
Fire Survey Date 1/18/2012  
Sprinkler Status Partially Sprinklered  vs 8.5% Nursing Homes USA have Partially Sprinklered
Program Participation Medicare And Medicaid  vs 91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  vs 7.9% Nursing Homes USA have For profit - Partnership
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 Both  vs 29.8% Nursing Homes USA have Both
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
75.2  (17.04 higher than average)
vs
58.16

Total Enforcement Actions Count
75.2  (18.89 higher than average)
vs
56.31

# of deficiencies
(2.48 lower than average)
vs
7.48

Staff Information
Number of Residents
102  (10.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
1.34  (0.57 higher than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.25  (0.59 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
1.58  (0.01 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.03  (5.46 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.03  (0.07 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: 04/02/2010
date Of Correction: 04/23/2010 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: 1) Hire Only People With No Legal History Of Abusing, Neglecting Or Mistreating Residents; Or 2) Report And Investigate Any Acts Or Reports Of Abuse, Neglect Or Mistreatment Of Residents.
survey Date: 04/02/2010
date Of Correction: 04/23/2010 

Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 11/24/2010
date Of Correction: 01/07/2011 

Administration Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 1
deficiency: 1) Set Up A Group That Is Legally Responsible For Writing And Setting Up Policies For Leading And Running The Nursing Home; Or 2) Hire A Properly Licensed Administrator.
survey Date: 11/24/2010
date Of Correction: Not Available 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 04/02/2010
date Of Correction: 04/20/2010 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
36.6 % (11.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
4.7 % (28.25 % lower than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
3 % (13.66 % lower than average)
vs
16.66 %

Percent of long-stay high-risk residents with pressure ulcers
18.6 (65.5) % (6.02 % higher than average)
vs
12.58 %

Percent of long-stay residents who lose too much weight
4.9 % (6.93 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
17 % (27.54 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
6.9 % (8.73 % lower than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
8.8 % (4.66 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms 10.7:1 % 
Percent of long-stay residents who were physically restrained
2.9 % (40.78 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
95.2 % (10.56 % higher than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
95.2 % (11.26 % higher 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
2.9 % (12.62 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
38 % (12.61 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
2.3 % (21.4 % lower than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
3.8 % (10.3 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
10.4 % (1.18 % higher than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
4 % (4.5 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder 22.2:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder 5.6:1 % 
Percent of long-stay residents with a urinary tract infection
7.4 % (2.18 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
24.8 % (4.94 % higher than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
2.3 % (36.23 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury 2.6 / 3 % 
Percent of short-stay residents who self-report moderate to severe pain
19.2 % (5.56 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
92.7 % (11.26 % higher than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
92.9 % (18.15 % higher than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication
5.1 % (12.24 % lower than average)
vs
17.34 %



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