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CEDAR POINTE REHAB & NURSING

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CEDAR POINTE REHAB & NURSING VS
All other Nursing Homes USA
General
City CICERO   vs 0% Nursing Homes USA have CICERO
State attribute explanation IL   vs 5% Nursing Homes USA have IL
Street 5825 WEST CERMAK ROAD  
Zip Code 60804  
Phone 7086569120  
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
(2.17 lower than average)
vs
3.17

Quality Measures Star Rating
(1.69 higher than average)
vs
3.31

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

Number of Certified Beds
485  (376.06 higher than average)
vs
108.94

Total Number of Residents
293  (201.75 higher than average)
vs
91.25

Percent of Occupied Beds
60 % (23.65 % lower than average)
vs
83.65 %

Health Survey Date 10/25/2011  
Fire Survey Date 11/14/2011  
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 - Individual  vs 3.5% Nursing Homes USA have For profit - Individual
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
(55.16 lower than average)
vs
58.16

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

# of deficiencies
28  (20.52 higher than average)
vs
7.48

Staff Information
Number of Residents
293  (201.62 higher than average)
vs
91.38

Number of RN Hours Per Resident Per Day
0.3  (0.47 lower than average)
vs
0.77

Number of LPN/LVN Hours Per Resident Per Day
0.45  (0.39 lower than average)
vs
0.84

Total Number of Licensed Staff Hours Per Resident Per Day
0.76  (0.83 lower than average)
vs
1.59

Number of CNA Hours Per Resident Per Day
0.02  (5.47 lower than average)
vs
5.49

Number Therapy Hours Per Resident Per Day
0.02  (0.08 lower than average)
vs
0.10

Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 4
deficiency: Make Sure That The Nursing Home Area Is Free From Accident Hazards And Risks And Provides Supervision To Prevent Avoidable Accidents.
survey Date: 03/09/2011
date Of Correction: 04/01/2011 

Deficiency #2 Scope: Some
level Of Harm: 1
deficiency: Provide A Safe, Clean, Comfortable And Homelike Environment.
survey Date: 03/09/2011
date Of Correction: 04/01/2011 

Deficiency #3 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 08/26/2010
date Of Correction: 09/18/2010 

Deficiency #4 Scope: Many
level Of Harm: 2
deficiency: Make Sure There Is A Pest Control Program To Prevent/deal With Mice, Insects, Or Other Pests.
survey Date: 09/17/2009
date Of Correction: 10/23/2009 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 08/04/2009
date Of Correction: 09/03/2009 

Mistreatment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 03/15/2012
date Of Correction: 06/28/2012 

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: 03/15/2012
date Of Correction: 06/28/2012 

Deficiency #3 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: 12/10/2010
date Of Correction: 01/20/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Develop Policies That Prevent Mistreatment, Neglect, Or Abuse Of Residents Or Theft Of Resident Property.
survey Date: 08/31/2010
date Of Correction: 09/18/2010 

Deficiency #5 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: 04/08/2010
date Of Correction: 05/05/2010 

Deficiency #6 Scope: Few
level Of Harm: 3
deficiency: Protect Each Resident From All Abuse, Physical Punishment, And Being Separated From Others.
survey Date: 02/09/2010
date Of Correction: 03/03/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Keep Each Resident Free From Drugs That Restrain Them, Unless Needed For Medical Treatment.
survey Date: 09/17/2009
date Of Correction: 10/23/2009 

Resident Rights Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 03/09/2011
date Of Correction: 04/01/2011 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Honor All Of The Resident's Rights As A Resident Of The Nursing Home, Free Of Coercion And Reprisal, And As A Citizen Or Resident Of The United States.
survey Date: 12/10/2010
date Of Correction: 01/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Let Each Resident Choose Whether To Manage His Or Her Own Money Or Deposit It With The Nursing Home.
survey Date: 07/07/2010
date Of Correction: 08/13/2010 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Let Residents Voice A Complaint Or Grievance Without Being Treated Differently Or Badly.
survey Date: 04/08/2010
date Of Correction: 05/05/2010 

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: 03/05/2010
date Of Correction: 03/11/2010 

Deficiency #6 Scope: Many
level Of Harm: 1
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 02/09/2010
date Of Correction: 03/09/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Reasonably Accommodate The Needs And Preferences Of Each Resident.
survey Date: 05/05/2009
date Of Correction: 06/01/2009 

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: 03/15/2012
date Of Correction: 06/28/2012 

Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Make Sure Services Provided By The Nursing Facility Meet Professional Standards Of Quality.
survey Date: 12/10/2010
date Of Correction: 01/20/2011 

Deficiency #3 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 12/10/2010
date Of Correction: 01/20/2011 

Deficiency #4 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/26/2010
date Of Correction: 09/18/2010 

Deficiency #5 Scope: Few
level Of Harm: 2
deficiency: Provide Necessary Care And Services To Maintain The Highest Well Being Of Each Resident .
survey Date: 07/07/2010
date Of Correction: 08/13/2010 

Deficiency #6 Scope: Few
level Of Harm: 2
deficiency: Make Sure That Residents Receive Treatment/services To Not Only Continue, But Improve The Ability To Care For Themselves.
survey Date: 04/08/2010
date Of Correction: 05/05/2010 

Deficiency #7 Scope: Few
level Of Harm: 2
deficiency: Provide Medically-related Social Services To Help Each Resident Achieve The Highest Possible Quality Of Life.
survey Date: 04/08/2010
date Of Correction: 05/05/2010 

Deficiency #8 Scope: Few
level Of Harm: 2
deficiency: Give Or Get Specialized Rehabilitative Services Per The Patient's Assessment Or Plan Of Care.
survey Date: 08/04/2009
date Of Correction: 09/03/2009 

Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 1
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 08/04/2009
date Of Correction: 09/03/2009 

Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
47.6 % (22.51 % higher than average)
vs
25.09 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (42.25 % higher than average)
vs
32.95 %

Percent of long-stay residents who self-report moderate to severe pain
8.3 % (8.36 % lower than average)
vs
16.66 %

Percent of long-stay residents who lose too much weight
7.4 % (4.43 % lower than average)
vs
11.83 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
8.4 % (36.14 % lower than average)
vs
44.54 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
75.2 % (59.57 % higher than average)
vs
15.63 %

Percent of long-stay residents with a urinary tract infection
1.1 % (12.36 % lower than average)
vs
13.46 %

Percent of long-stay residents who have depressive symptoms
4.3 % (24.08 % lower than average)
vs
28.38 %

Percent of long-stay residents who were physically restrained
0.7 % (42.98 % lower than average)
vs
43.68 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
7.3 % (77.34 % lower than average)
vs
84.64 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
1.8 % (82.14 % 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
3.3 % (12.22 % lower than average)
vs
15.52 %

Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
48.8 % (23.41 % higher than average)
vs
25.39 %

Percent of long-stay residents whose need for help with daily activities has increased
75.2 % (51.5 % higher than average)
vs
23.70 %

Percent of long-stay residents who self-report moderate to severe pain
7.6 % (6.5 % lower than average)
vs
14.10 %

Percent of long-stay high-risk residents with pressure ulcers
2.9 % (6.32 % lower than average)
vs
9.22 %

Percent of long-stay residents who lose too much weight
6.6 % (1.9 % lower than average)
vs
8.50 %

Percent of long-stay low-risk residents who lose control of their bowels or bladder
7.3 % (36.08 % lower than average)
vs
43.38 %

Percent of long-stay residents who have had a catheter inserted and left in their bladder
0.2 % (10.45 % lower than average)
vs
10.65 %

Percent of long-stay residents with a urinary tract infection
0.6 % (8.98 % lower than average)
vs
9.58 %

Percent of long-stay residents who have depressive symptoms
5.4 % (14.46 % lower than average)
vs
19.86 %

Percent of long-stay residents who were physically restrained
0.7 % (37.83 % lower than average)
vs
38.53 %

Percent of long-stay residents experiencing one or more falls with major injury
3.6 % (7.13 % lower than average)
vs
10.73 %

Percent of short-stay residents who self-report moderate to severe pain
5 % (19.76 % lower than average)
vs
24.76 %

Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
3.5 % (77.94 % lower than average)
vs
81.44 %

Percent of short-stay residents with Pressure ulcers that are new or worsened
0.5 - 2.0 % (74.25 % lower than average)
vs
74.75 %

Percent of short-stay residents who newly received an antipsychotic medication 19.4:1 % 


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